PROMED SERVICES LLC (NPI# 1649890807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649890807 |
Entity Type | Organization |
Organization Name | PROMED SERVICES LLC |
Other Organization Name | FRIENDLY PHLEBOTOMY SERVICE |
Practice Address |
6986 E Mary Dr Tucson AZ 85730-1713 |
Practice Telephone | 5208618566 |
Practice Fax Number | 8667751988 |
Mailing Telephone | 5208618566 |
Mailing Fax Number | 8667751988 |
Enumeration Date | 2020-04-17 |
Last Update Date | 2020-05-27 |
Authorized Official Name | MR. ERNESTO ANTONIO LEVARIO (MEMBER) |
Authorized Official Telephone | 5208618566 |
Authorized Official Credential | PBT-ASCP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
Other Name | Type Code |
---|---|
Friendly Phlebotomy Service | Doing Business As Name - Organization |
Street Address |
6986 E MARY DR |
City | TUCSON |
State | AZ |
Zip Code | 85730-1713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871019927 | Jacques Boubeka | Behavior Technician | 9047 E Mayberry Dr, Tucson, AZ 85730 | 2017-08-21 |
1801266556 | Jennifer Budd | Nurse Practitioner | 2435 N. Castro Avenue, Tucson, AZ 85730 | 2015-10-06 |
1285037648 | Eden Huang | Physician Assistant | 6950 E Golf Links, Tucson, AZ 85730 | 2014-09-30 |
1881002376 | Chisom P Umogbai | Optometrist | 7046 E Golf Links Rd, Tucson, AZ 85730 | 2014-07-28 |
1720490154 | Integrity Counseling Services, Plc | Counselor | 11092 E. Placita Cumbia, Tucson, AZ 85730 | 2014-05-20 |
1619399276 | Karla J. Gracia | Counselor | 8050 E. Lakeside Pkwy, Tucson, AZ 85730 | 2014-01-15 |
1780934505 | Kendrah Jordan Davis | Contractor | 3226 South Lakeside Drive, Tucson, AZ 85730 | 2012-09-19 |
1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
1568770154 | Steven Fabian Wautlet | Pharmacist | 7771 E. Golf Links Road, Tucson, AZ 85730 | 2010-09-17 |
1033239942 | Franciso Garcia | Psychiatry & Neurology | 8050 East Lakeside Parkway, Cope Community Services, Inc., Tucson, AZ 85730 | 2007-04-02 |
Find all providers in zip 85730 |
Taxonomy Code | 246RP1900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Phlebotomy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295336543 | Jessica Gonzales | Technician, Pathology | 11274 S Fortuna Rd Ste D436, Yuma, AZ 85367-7847 | 2020-11-03 |
1255943155 | Kieara Onyia | Technician, Pathology | 3101 N Central Ave Ste 183, Phoenix, AZ 85012-3616 | 2020-08-21 |
1598385825 | Margorie Edith Alldredge | Technician, Pathology | 1940 Mesquite Ave Ste P, Lake Havasu City, AZ 86403-6123 | 2020-04-16 |
1972132421 | Maryam Jalila Davis | Technician, Pathology | 5150 N 99th Ave Apt 3091, Glendale, AZ 85305-3034 | 2020-04-06 |
1013554807 | Willia B Tubbs | Technician, Pathology | 546 S Country Club Dr Apt 2147, Mesa, AZ 85210-4103 | 2019-11-29 |
1881156396 | Marisol Cardenas | Technician, Pathology | 7819 E Roosevelt St, Scottsdale, AZ 85257-4442 | 2019-04-03 |
1720501661 | Rachel Ann Barger | Technician, Pathology | 791 N 9th Ave, Holbrook, AZ 86025-2341 | 2017-07-23 |
1063882892 | Tunnisia Nelson | Technician, Pathology | 1050 E University Dr Ste 8, Mesa, AZ 85203-8046 | 2015-10-06 |
1508109216 | Az Home Phlebotomy Services | Technician, Pathology | 7312 N 70th Dr, Glendale, AZ 85303-2109 | 2013-04-01 |
1649536038 | Jenifer Hope Maeser | Technician, Pathology | 98 W Paseo Celestial, Sahuarita, AZ 85629-8651 | 2012-04-10 |
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.