LEGENDARY MOBILE PHLEBOTOMY & LAB LLC
NPI 1649060757
Technician, Pathology - Phlebotomy in Tolleson, AZ
About Legendary Mobile Phlebotomy & Lab Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGENDARY MOBILE PHLEBOTOMY & LAB LLC (NPI 1649060757) is a healthcare organization registered as a phlebotomy in Tolleson, Arizona and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Lakisha Hodge, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 03D2320464
Legendary Mobile Phlebotomy & Lab LLC · Tolleson, AZFrequently 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 Legendary Mobile Phlebotomy & Lab LLC's NPI number?
The NPI number for Legendary Mobile Phlebotomy & Lab LLC is 1649060757. It was assigned to this organization in the NPPES registry on May 12, 2025.
Where is Legendary Mobile Phlebotomy & Lab LLC located?
Legendary Mobile Phlebotomy & Lab LLC is located at 8317 West Mohave Street, Tolleson, AZ 85353. The listed phone number is (602) 632-3104.
What is Legendary Mobile Phlebotomy & Lab LLC's specialty?
The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.
Does Legendary Mobile Phlebotomy & Lab LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2320464) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Legendary Mobile Phlebotomy & Lab LLC was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Legendary Mobile Phlebotomy & Lab Llc · NPI 1649060757
Phlebotomy organization in Tolleson, Arizona. Organization record, active in the CMS NPPES registry since May 12, 2025.
## Identity
- **NPI:** 1649060757 (Entity type: Organization)
- **Enumerated:** May 12, 2025
- **Primary specialty:** Technician, Pathology - Phlebotomy · taxonomy 246RP1900X
- **Organization subpart:** No
- **Authorized official:** Lakisha Hodge, OWNER
## Practice location
- **Address:** 8317 WEST MOHAVE STREET, Tolleson, AZ 85353-8959
- **Phone:** (602) 632-3104
## Record status
- **NPPES last updated:** May 12, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649060757) · Data from the CMS NPPES public registry.