BLOODLINE LAB MOBILE PHLEBOTOMY – NPI #1073920146
Technician, Pathology

BLOODLINE LAB MOBILE PHLEBOTOMY is a pathology technician located in SUNNYVALE, CA. NPPES has assigned the NPI number 1073920146 to BLOODLINE LAB MOBILE PHLEBOTOMY on July 21, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BLOODLINE LAB MOBILE PHLEBOTOMY is also known by the name BLOODLINE LAB. The primary taxonomy selected by this provider is 246RP1900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Phlebotomy

The NPI profile was previously updated about 12 years ago on Jul 29, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLOODLINE LAB MOBILE PHLEBOTOMY below.

NPI Profile for
BLOODLINE LAB MOBILE PHLEBOTOMY

NPI Number
1073920146
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLOODLINE LAB MOBILE PHLEBOTOMY
Other Name: BLOODLINE LAB
Primary location
830 STEWART DRIVE SUITE 229
SUNNYVALE, CA 94085
Phone: (408) 913-9233 Fax: (408) 913-3230
Mailing address
1111 W EL CAMINO REAL # 109-385
SUNNYVALE, CA 94087-1056
Phone: (408) 913-9233 Fax: (408) 913-9230
Organization Subpart
No
Authorized Official
LEONARD VILLAFUERTE
PRESIDENT/OWNER
Phone: (408) 913-9233
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246RP1900X
- Technician, Pathology / Phlebotomy (Primary)		 CA CPT00013357

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.