NPI Details
STAT MOBILE PHLEBOTOMY LLC is a clinical medical laboratory in Waukegan, IL. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. STAT MOBILE PHLEBOTOMY LLC NPI is 1659965887. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Stat Mobile Phlebotomy And Laboratory Llc.
The provider's business location address is:
1700 N BERWICK BLVD APT K212
WAUKEGAN, IL
ZIP 60085-578
Phone: (312) 508-0530
Fax: (872) 813-5255
The provider's authorized official is Heatherkay Elliott .
The authorized official title is Manager and has the following contact phone number (312) 508-0530.
The CLIA number assigned to this NPI record is 14D2241321 - mobile laboratory with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled (HCPCS:P9603)
- Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge (HCPCS:P9604)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Blood test, clotting time (HCPCS:85610)
- Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) (HCPCS:G0471)
- Catheterization for collection of specimen, single patient, all places of service (HCPCS:P9612)
The enumeration date for this NPI number is 2/28/2021 and was last updated on 3/15/2022.
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 |
| 1 | 246RP1900X | Technician, Pathology | Phlebotomy | | | No |
| 2 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
