PROFESSIONAL PHLEBOTOMY SERVICES LLC
NPI 1013568328
Technician, Pathology - Phlebotomy in Kissimmee, FL

Active since September 27, 2019CLIA 10D2344206 · Waiver
204 OLD BAY LN, KISSIMMEE, FL 34743(407) 434-9208 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Phlebotomy Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL PHLEBOTOMY SERVICES LLC (NPI 1013568328) is a healthcare organization registered as a phlebotomy in Kissimmee, Florida and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through May 18, 2028, maintains a secondary practice location in Kissimmee, and lists Carmen D Llanos Padilla, Owner, as its authorized official.

NPPES Registry Identity

NPI1013568328
Entity TypeOrganization
Primary Taxonomy246RP1900X
Legal Business NamePROFESSIONAL PHLEBOTOMY SERVICES LLC
Location Address204 OLD BAY LNKissimmee, FL 34743-6135
Mailing Address204 Old Bay LnKissimmee, FL 34743-6135 · (407) 434-9208
Organization SubpartNo
Authorized OfficialCarmen D Llanos PadillaOwner · (407) 434-9208
Enumeration DateSeptember 27, 2019
NPI 1013568328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
204 OLD BAY LN, Kissimmee, FL 34743

Secondary Practice Location 1

Location 1204 Old Bay LnKissimmee, FL 34743-6135 · Phone (407) 434-9208

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2344206

Professional Phlebotomy Services, LLC · Kissimmee, FL
Active · expires May 18, 2028
CLIA Number10D2344206
Laboratory TypeMobile Laboratory
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorCarmen D. Llanos Padilla
Laboratory Phone(407) 434-9208
Laboratory LocationProfessional Phlebotomy Services, LLC204 Old Bay Ln, Kissimmee, FL 34743
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician, Pathology (Phlebotomy)
204 OLD BAY LN
KISSIMMEE, FL 34743

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Phlebotomy Services LLC's NPI number?

The NPI number for Professional Phlebotomy Services LLC is 1013568328. It was assigned to this organization in the NPPES registry on September 27, 2019.

Where is Professional Phlebotomy Services LLC located?

Professional Phlebotomy Services LLC is located at 204 Old Bay Ln, Kissimmee, FL 34743. The listed phone number is (407) 434-9208.

What is Professional Phlebotomy Services LLC's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

Does Professional Phlebotomy Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2344206) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Professional Phlebotomy Services LLC was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.