Organization Active NPI

Traveling Vein Phlebotomy Services LLC

  • Clinical Medical Laboratory
  • Reisterstown, MD
National Provider Identifier
1902758105
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TRAVELING VEIN PHLEBOTOMY SERVICES LLC
Practice address
750 Main St Ste 307
Reisterstown, MD 21136-2517
Phone
(667) 305-8300
NPI assigned
Feb 10, 2026
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shanetta Monique Willett
Title
Owner
Phone
(410) 831-1018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

750 Main St Ste 307
Reisterstown, MD 21136-2517

Mailing address

126 Courtland Woods Cir
Pikesville, MD 21208-2600
Phone (410) 831-1018

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2340392Traveling Vein Phlebotomy Services LLC750 Main St Suite 307, Reisterstown, MD 21136Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory

Locations

750 Main St
Ste 307
Reisterstown, MD 21136
Phone (667) 305-8300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1902758105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 COURTLAND WOODS CIR",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082600",
            "telephone_number": "410-831-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MAIN ST STE 307",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362517",
            "telephone_number": "667-305-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVELING VEIN PHLEBOTOMY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "WILLETT",
        "authorized_official_first_name": "SHANETTA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-831-1018"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.