MEDICARE: AMERICAN RED CROSS BLOOD SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	138724	NY

General Provider Information

NPI Number	:	1881922052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN RED CROSS BLOOD SERVICES

Provider Business Mailing Address
First Line	:	825 JOHN ST
Second Line	:
City	:	WEST HENRIETTA
State	:	NY
Zip	:	14586-9790
Country	:	US
Telephone Number	:	585-760-5613
Fax Number	:	585-760-5509

Provider Business Practice Location Address
First Line	:	825 JOHN ST
Second Line	:
City	:	WEST HENRIETTA
State	:	NY
Zip	:	14586-9790
Country	:	US
Telephone Number	:	585-760-5613
Fax Number	:	585-760-5509

Authorized Official
Title or Position	:	ASSOCIATE MEDICAL DIRECTOR
Name	:	DR. JOANN STEPHANIE JANAS
Credential	:	M.D.
Telephone Number	:	585-760-5613

Provider Enumeration Date	:	11/30/2009
Last Update Date	:	11/30/2009

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Directions to “AMERICAN RED CROSS BLOOD SERVICES ” Practice Location

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