CONCIERGE PROFESSIONAL PHLEBOTOMY SERVICE, LLC


Address: 2670 Union Avenue Ext Ste 1216, Memphis, TN 38112-4422
Phone: 9012186769

CONCIERGE PROFESSIONAL PHLEBOTOMY SERVICE, LLC (NPI# 1861037699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861037699
Entity Type Organization
Organization Name CONCIERGE PROFESSIONAL PHLEBOTOMY SERVICE, LLC
Practice Address 2670 Union Avenue Ext Ste 1216
Memphis
TN 38112-4422
Mailing Address 6281 Fiske Rd
Bartlett
TN 38135-1107
Practice Telephone 9012186769
Mailing Telephone 9012186769
Enumeration Date 2019-11-15
Last Update Date 2019-11-15
Authorized Official Name MRS. JENNIFER C RANDLE (DIRECTOR)
Authorized Official Telephone 9012186769
Authorized Official Credential MLS, MSHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 202K00000X Phlebology Allopathic & Osteopathic Physicians

Office Location

Street Address 2670 UNION AVENUE EXT STE 1216
City MEMPHIS
State TN
Zip Code 38112-4422

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Taxonomy Information

Taxonomy Code 202K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Phlebology

Taxonomy Definition

Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.
Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None

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City MEMPHIS
Zip Code 38112

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Dataset Information

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.

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