LEGENDARY MOBILE PHLEBOTOMY & LAB LLC
NPI 1649060757
Technician, Pathology - Phlebotomy in Tolleson, AZ
NPI Status: Active since May 12, 2025
Contact Information
8317 WEST MOHAVE STREET
TOLLESON, AZ
ZIP 85353
Phone: (602) 632-3104
- Organization
- Technician, Pathology
- Phlebotomy
- CLIA Number: 03D2320464
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 03-17-2027
About LEGENDARY MOBILE PHLEBOTOMY & LAB LLC
This page provides the complete NPI Profile along with additional information for Legendary Mobile Phlebotomy & Lab Llc, a provider established in Tolleson, Arizona operating as a Technician, Pathology, focusing in phlebotomy . The healthcare provider is registered in the NPI registry with number 1649060757 assigned on May 2025. The practitioner's primary taxonomy code is 246RP1900X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Lakisha Hodge (Owner)
- NPI
- 1649060757
- Provider Name
- LEGENDARY MOBILE PHLEBOTOMY & LAB LLC
- Entity Type
- Organization
- Location Address
- 8317 WEST MOHAVE STREET TOLLESON, AZ 85353
- Location Phone
- (602) 632-3104
- Mailing Address
- 8317 WEST MOHAVE STREET TOLLESON, AZ 85353
- Mailing Phone
- (602) 632-3104
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-12-2025
- Last Update Date
- 05-12-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Technician, Pathology Phlebotomy
- Taxonomy Code
- 246RP1900X
- Type
- Technologists, Technicians & Other Technical Service Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2320464
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- March 18, 2025
- Certificate Expiration Date
- March 17, 2027
- Laboratory Director
- LAKISHA R. HODGE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Legendary Mobile Phlebotomy & Lab Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1649060757, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649060757, enumerated as an "organization" on May 12, 2025.
The provider is located at 8317 WEST MOHAVE STREET TOLLESON, AZ 85353 and the phone number is (602) 632-3104.
Technician, Pathology with taxonomy code 246RP1900X and a focus in Phlebotomy.
