Organization Active NPI

Patterson Phelbotomy LLC

  • Specialist
  • Warren, MI
National Provider Identifier
1952065237
Registry record updated Oct 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PATTERSON PHELBOTOMY LLC
Practice address
11809 Carol Ave
Warren, MI 48093-4619
Phone
(586) 360-7179
NPI assigned
Oct 24, 2021
Last updated
Oct 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2021

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

Authorized official

Name
Robert A Patterson, CPT,CMA,OWNERNPI 1093383598
Title
Member/Delegate
Phone
(586) 360-7179

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

11809 Carol Ave
Warren, MI 48093-4619

Mailing address

37700 Harper Ave # B3
Clinton Township, MI 48036-3021
Phone (586) 360-7179

National Provider Directory

National Provider Directory
Tax ID family
Patterson Phelbotomy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

37700 Harper Ave
#B3
Clinton Township, MI 48036

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": "1635033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635033600000",
    "number": "1952065237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37700 HARPER AVE # B3",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363021",
            "telephone_number": "586-360-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11809 CAROL AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934619",
            "telephone_number": "586-360-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON PHELBOTOMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-24",
        "last_updated": "2021-10-24",
        "certification_date": "2021-10-24",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER/DELEGATE",
        "authorized_official_telephone_number": "586-360-7179",
        "authorized_official_credential": "CPT,CMA,OWNER"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.