Healthcare Provider Details

I. General information

NPI: 1851791602
Provider Name (Legal Business Name): JANELLE LASHLEY MOBILE PHLEBOTOMIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2014
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 WARD AVE
MAMARONECK NY
10543-2761
US

IV. Provider business mailing address

403 WARD AVE
MAMARONECK NY
10543-2761
US

V. Phone/Fax

Practice location:
  • Phone: 914-727-2838
  • Fax:
Mailing address:
  • Phone: 914-727-2838
  • Fax: 347-708-1630

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: