Organization Active NPI

Elite Phlebdna Mobile Services, LLC.

  • Phlebotomy Technician
  • Lauderdale Lakes, FL
National Provider Identifier
1912848078
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
ELITE PHLEBDNA MOBILE SERVICES, LLC.
Practice address
3500 N State Road 7 Ste 302
Lauderdale Lakes, FL 33319-5626
Phone
(954) 557-9264
NPI assigned
Apr 2, 2026
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Lakeshia Renee Kennedy, CERTIFIEDNPI 1548101686
Title
Owner/Phlebotomist
Phone
(954) 557-9264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

3500 N State Road 7 Ste 302
Lauderdale Lakes, FL 33319-5626

Mailing address

3500 N State Road 7 Ste 302
Lauderdale Lakes, FL 33319-5626
Phone (954) 557-9264

National Provider Directory

National Provider Directory

Locations

3500 N State Road 7
Ste 302
Lauderdale Lakes, FL 33319
Phone (954) 557-9264

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1912848078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N STATE ROAD 7 STE 302",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195626",
            "telephone_number": "954-557-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N STATE ROAD 7 STE 302",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195626",
            "telephone_number": "954-557-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHLEBDNA MOBILE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "LAKESHIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/PHLEBOTOMIST",
        "authorized_official_telephone_number": "954-557-9264",
        "authorized_official_credential": "CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.