BLOODLINE LAB MOBILE PHLEBOTOMY (NPI# 1073920146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073920146 |
| Entity Type | Organization |
| Organization Name | BLOODLINE LAB MOBILE PHLEBOTOMY |
| Other Organization Name | BLOODLINE LAB |
| Practice Address |
830 Stewart Drive Suite 229 Sunnyvale CA 94085 |
| Mailing Address |
1111 W El Camino Real # 109-385 Sunnyvale CA 94087-1056 |
| Practice Telephone | 4089139233 |
| Practice Fax Number | 4089133230 |
| Mailing Telephone | 4089139233 |
| Mailing Fax Number | 4089139230 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-29 |
| Authorized Official Name | MR. LEONARD A VILLAFUERTE (PRESIDENT/OWNER) |
| Authorized Official Telephone | 4089139233 |
| Authorized Official Credential | CPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
CPT00013357 | CA | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Bloodline Lab | Other Name - Individual/Organization |
| Street Address |
830 STEWART DRIVE SUITE 229 |
| City | SUNNYVALE |
| State | CA |
| Zip Code | 94085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659922961 | Krista Elizabeth Olson | Social Worker | 440 North Wolfe Road, Sunnyvale, CA 94085 | 2019-09-27 |
| 1104316157 | Arrayit Corporation | Clinical Medical Laboratory | 927 Thompson Pl, Sunnyvale, CA 94085 | 2018-05-15 |
| 1700390911 | Kuo-sen Tseng | Acupuncturist | 441 Deguigne Dr. #101, Sunnyvale, CA 94085 | 2017-11-27 |
| 1649707787 | Deborah Nin | Speech-Language Pathologist | 675 Almanor Avenue, Sunnyvale, CA 94085 | 2017-05-19 |
| 1033660857 | Yanna Zhen | Acupuncturist | 845 San Petronio Ave, Sunnyvale, CA 94085 | 2016-10-17 |
| 1073984431 | Kinnari Patel | Dentist | 672 Montara Terrace, Sunnyvale, CA 94085 | 2015-10-12 |
| 1558740332 | Huijuan Wang | Acupuncturist | 830 Stewart Drive, Sunnyvale., 278, Sunnyvale, CA 94085 | 2015-05-26 |
| 1215345103 | Leonard Anthony Villafuerte | Technician, Pathology | 830 Stewart Drive Suite 29, Sunnyvale, CA 94085 | 2014-07-24 |
| 1518377399 | Emac Medical Anti-aging Center | Acupuncturist | 441 Deguigne Dr. Suite 101, Sunnyvale, CA 94085 | 2014-05-02 |
| 1639516982 | Khoa Phuong Nguyen | Dentist | 927 E Arques Ave # 171, Sunnyvale, CA 94085 | 2013-05-28 |
| Find all providers in zip 94085 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215345103 | Leonard Anthony Villafuerte | Technician, Pathology | 830 Stewart Drive Suite 29, Sunnyvale, CA 94085 | 2014-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071882 | Gerardo Quinones Sr. | Technician, Pathology | 839 Illinois Ave., Colton, CA 92324-9232 | 2020-10-19 |
| 1467065300 | Rachel Perez | Technician, Pathology | 12569 Avenue 80, Pixley, CA 93256-9715 | 2020-08-29 |
| 1619586930 | Onestop Mobile Phlebotomy | Technician, Pathology | 4214 E Los Angeles Ave Apt 2, Simi Valley, CA 93063-3373 | 2020-07-23 |
| 1376151217 | Marco Dimailig | Technician, Pathology | 624 S Berendo St Apt 404, Los Angeles, CA 90005-1749 | 2020-07-16 |
| 1033735535 | Gentle Butterfly Phlebotomy Services LLC | Technician, Pathology | 568 Hacienda Ave, Perris, CA 92571-2810 | 2020-06-19 |
| 1861016958 | Jonathan Godes | Technician, Pathology | 878 Compass Way, San Diego, CA 92154-5839 | 2020-06-03 |
| 1467076067 | Darlene Bennett | Technician, Pathology | 8450 Carob St, Fontana, CA 92335-1221 | 2020-05-31 |
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1699395202 | Tanya M Atelian | Technician, Pathology | 195 E Mountain Dr, Santa Barbara, CA 93108-1025 | 2020-04-23 |
| 1811528490 | Pamela L Carter | Technician, Pathology | 27668 Dogwood St, Murrieta, CA 92562-4377 | 2020-01-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.