Active NPI
Lizzma LLC
- Other Technician
- Emeryville, CA
National Provider Identifier
1891507828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Legal business name
- LIZZMA LLC
- Practice address
- 1900 Powell St Ste 600
Emeryville, CA 94608-1885 - Phone
- (341) 400-1392
- NPI assigned
- Jan 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olanrewaju Agbaje
- Title
- Manager
- Phone
- (341) 400-1392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
1900 Powell St Ste 600
Emeryville, CA 94608-1885
Mailing address
1900 Powell St Ste 600
Emeryville, CA 94608-1885
Phone (341) 400-1392
Other names 1
- EasyDraw Mobile Phlebotomy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1891507828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 POWELL ST STE 600",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081885",
"telephone_number": "341-400-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 POWELL ST STE 600",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081885",
"telephone_number": "341-400-1392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIZZMA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-27",
"certification_date": "2025-01-26",
"status": "A",
"authorized_official_last_name": "AGBAJE",
"authorized_official_first_name": "OLANREWAJU",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "341-400-1392"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EasyDraw Mobile Phlebotomy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Emeryville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.