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BEVEL UP MOBILE PHLEBOTOMY LLC
NPI 1659055887
Home Health in Black Jack, MO

Active since June 08, 2023
12565 EVENING SHADE DR, BLACK JACK, MO 63033(314) 583-1477(314) 216-3926 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bevel Up Mobile Phlebotomy Llc NPPES

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

BEVEL UP MOBILE PHLEBOTOMY LLC (NPI 1659055887) is a healthcare organization registered as a home health in Black Jack, Missouri and active in the NPI registry since June 2023. The organization lists Mondrakus Harper, Cpt, as its authorized official.

NPPES Registry Identity

NPI1659055887
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameBEVEL UP MOBILE PHLEBOTOMY LLC
Location Address12565 EVENING SHADE DRBlack Jack, MO 63033-8513
Mailing Address12565 Evening Shade DrBlack Jack, MO 63033-8513 · (314) 583-1477 · Fax (314) 216-3926
Phone(314) 583-1477
Fax(314) 216-3926
Organization SubpartNo
Authorized OfficialMondrakus HarperCpt · (314) 583-1477
Enumeration DateJune 8, 2023
NPPES CertifiedJune 8, 2023
✔ NPI 1659055887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
12565 EVENING SHADE DR, Black Jack, MO 63033
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Other Providers at the Same Location NPPES

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

MONDRAKUS HARPER
Technician, Pathology (Phlebotomy)
12565 EVENING SHADE DR
BLACK JACK, MO 63033
St. Louis County (314) 583-1477

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 Bevel Up Mobile Phlebotomy LLC's NPI number?

The NPI number for Bevel Up Mobile Phlebotomy LLC is 1659055887. It was assigned to this organization in the NPPES registry on June 8, 2023.

Where is Bevel Up Mobile Phlebotomy LLC located?

Bevel Up Mobile Phlebotomy LLC is located at 12565 Evening Shade Dr, Black Jack, MO 63033. The listed phone number is (314) 583-1477.

What is Bevel Up Mobile Phlebotomy LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Bevel Up Mobile Phlebotomy LLC was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.