Holly Phlebotomy Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HOLLY PHLEBOTOMY INC

Practice address

17311 SE 27TH Place Rd
Ocklawaha, FL 32179-2356

Phone

(352) 625-3737

Fax

(352) 625-3737

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Rhonda Holly

Title

President

Phone

(352) 625-3737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992871198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17311 SE 27TH PLACE RD",
            "city": "OCKLAWAHA",
            "state": "FL",
            "postal_code": "321792356",
            "telephone_number": "352-625-3737",
            "fax_number": "352-625-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17311 SE 27TH PLACE RD",
            "city": "OCKLAWAHA",
            "state": "FL",
            "postal_code": "321792356",
            "telephone_number": "352-625-3737",
            "fax_number": "352-625-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY PHLEBOTOMY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-625-3737"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ocklawaha, FL
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.