Central Oregon Mobile Phlebotomy Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CENTRAL OREGON MOBILE PHLEBOTOMY SERVICES, LLC

Practice address

1420 NE Mable CT
Bend, OR 97701-3722

Phone

(541) 680-2001

NPI assigned

Nov 11, 2014

Organization subpart

No

Name

Shannon ScrivenNPI 1184046237

Title

Owner

Phone

(541) 680-2001

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Scriven

  • Clinical Medical Laboratory
  • Bend, OR
  • NPI 1184046237
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2014.

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1972909489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 NE MABLE CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013722",
            "telephone_number": "541-680-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 NE MABLE CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013722",
            "telephone_number": "541-680-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OREGON MOBILE PHLEBOTOMY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "SCRIVEN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-680-2001"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Oregon Magnetic Resonance Imaging LLC
• Central Oregon Magnetic Resonance Imaging LLC
• Central Oregon Magnetic Resonance Imaging LLC
• Central Oregon Magnetic Resonance Imaging LLC
• Central Oregon Magnetic Resonance Imaging LLC
• Central Oregon Pathology Consultants, PC
• Central Oregon Pediatric Associates
• Central Oregon Pediatric Associates Subspecialty
• Central Oregon Perio
• Central Oregon Pharmacy Enterprises

• All providers in Bend, OR
• Clinical Medical Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.