Healthcare Provider Details

I. General information

NPI: 1407787898
Provider Name (Legal Business Name): YASHIRA PEREZ PHLEBOTOMIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16300 E ELM ST
INDEPENDENCE MO
64050-4110
US

IV. Provider business mailing address

16300 E ELM ST
INDEPENDENCE MO
64050-4110
US

V. Phone/Fax

Practice location:
  • Phone: 913-725-8128
  • Fax: 228-220-2376
Mailing address:
  • Phone: 913-725-8128
  • Fax: 228-220-2376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: