Quick Stick Mobile Phlebotomy, LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

QUICK STICK MOBILE PHLEBOTOMY, LLC

Practice address

5295 Eastwood Cir
Salisbury, MD 21804-1640

Phone

(410) 701-0642

NPI assigned

Nov 2, 2022

Organization subpart

No

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

Authorized official

Name

Jasmine Cree Nicholson, LPN

Title

Owner

Phone

(410) 701-0642

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1962119669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 EASTWOOD CIR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 EASTWOOD CIR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041640",
            "telephone_number": "410-701-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK STICK MOBILE PHLEBOTOMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "CREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-701-0642",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.