Elite Mobile Phlebotomy
NPI 1245042001ActiveOrganization· Technician, Pathology, Phlebotomy· Menifee, CA
Technician, Pathology, Phlebotomy in Menifee, California, registered in NPPES in January 2025. The authorized official on file is Kaitlyn Rose Derouen, Owner/ Phlebotomist.
Overview
| NPI | 1245042001 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 20, 2025 |
| Last updated in NPPES | Jan 20, 2025 |
| Certified by provider | Jan 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Pathology, Phlebotomy Primary | 246RP1900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|