Healthcare Provider Details

I. General information

NPI: 1689548570
Provider Name (Legal Business Name): CLEARPATH PHLEBOTOMY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29580 NORTHWESTERN HWY
SOUTHFIELD MI
48034-1094
US

IV. Provider business mailing address

17159 STRATHMOOR ST
DETROIT MI
48235-3919
US

V. Phone/Fax

Practice location:
  • Phone: 586-419-4308
  • Fax:
Mailing address:
  • Phone: 586-419-4308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: APRIL HOUSTON
Title or Position: CERTIFIED PHLEBOTOMIST
Credential: CPT
Phone: 586-419-4308