Galaxy Phlebotomy L.L.C

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GALAXY PHLEBOTOMY L.L.C

Practice address

2400 Queens Chapel Rd Apt 205
Hyattsville, MD 20782-3632

Phone

(202) 758-4436

NPI assigned

Dec 29, 2020

Last updated

Jan 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latasha Alexander

Title

Ceo

Phone

(202) 758-4436

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1912594607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 QUEENS CHAPEL RD APT 205",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 QUEENS CHAPEL RD APT 205",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823632",
            "telephone_number": "202-758-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY PHLEBOTOMY L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-758-4436"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Fuentes Valdivia
• Frederick Asongyen Fulu
• Relindis Mumboh Fundoh
• Christopher Che Funebe
• Julia Gabriel
• Karen Galdamez, LMSW
• Stephanie Mabelle Gamgne Teta
• Mirabel Gana
• Fatima Ashraf Ganatra, MD
• Deepali Gandhi

• Health Service Clinic/Center in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.