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SOUTH JERSEY PHLEBOTOMY SERVICES LLC NPI 1124531405


NPI Information

NPI: 1124531405
Provider Name: SOUTH JERSEY PHLEBOTOMY SERVICES, LLC
Classification: Technician, Pathology - 246RP1900X
Entity Type: Organization

Specialization: Phlebotomy

CLIA Number: 31D2000866

Address:
151 FRIES MILL RD STE 506A
BLACKWOOD, NJ
ZIP 08012
Phone: (856) 534-1702
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SOUTH JERSEY PHLEBOTOMY SERVICES, LLC is a phlebotomy technician pathology in Blackwood, NJ. SOUTH JERSEY PHLEBOTOMY SERVICES, LLC NPI is 1124531405. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

151 FRIES MILL RD STE 506A
BLACKWOOD, NJ
ZIP 08012-016
Phone: (856) 534-1702
Fax: (856) 352-0617

The provider's authorized official is Steven A Mccomb .
The authorized official title is Owner and has the following contact phone number (856) 534-1702.

The CLIA number assigned to this NPI record is 31D2000866 - other - radiology with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246RP1900XTechnician, PathologyPhlebotomyNEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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