PURPLE HEART MOBILE PHLEBOTOMY & LABORATORY SERVICES LLC NPI 1164394375

NPI Information

  • NPI: 1164394375
  • Provider Name: PURPLE HEART MOBILE PHLEBOTOMY & LABORATORY SERVICES LLC
  • Classification: Allergy & Immunology - 207KI0005X
  • Specialization: Clinical & Laboratory Immunology
  • Entity Type: Organization
  • Address: 2204 TUCKER LN APT B1
    BALTIMORE, MD
    ZIP 21207
  • Phone: (804) 940-9171

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NPI Details

PURPLE HEART MOBILE PHLEBOTOMY & LABORATORY SERVICES LLC is a clinical and laboratory immunology allergy immunology in Baltimore, MD. The provider is an allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology. PURPLE HEART MOBILE PHLEBOTOMY & LABORATORY SERVICES LLC NPI is 1164394375. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2204 TUCKER LN APT B1
BALTIMORE, MD
ZIP 21207-839
Phone: (804) 940-9171

The provider's authorized official is Latrescia Reeves .
The authorized official title is Owner and has the following contact phone number (804) 940-9171.

The enumeration date for this NPI number is 9/18/2025 and was last updated on 9/19/2025.

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
1207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyYes

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: 11/21/2025

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