Individual provider

Eddrena Bertram, PHLEBOTOMIST TECH

Phlebotomy Technician

Eddrena Bertram, PHLEBOTOMIST TECH is a Phlebotomy Technician in Glendale, AZ, registered under NPI 1104623701. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 6751 N SUNSET BLVD STE 320, Glendale, AZ 85305. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

6751 N SUNSET BLVD STE 320, Glendale, AZ 85305 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
19114-135632 AZ Phlebotomy Technician primary

This provider holds licence 19114-135632 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Phlebotomy covers

Definition to come... NUCC Health Care Provider Taxonomy, code 246RP1900X
Technologists, Technicians & Other Technical Service Providers Technician, Pathology Phlebotomy

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104623701 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 1, 2025
Last updatedMar 1, 2025
StatusActive
Sole proprietorYes
CredentialPHLEBOTOMIST TECH
Practice address 6751 N SUNSET BLVD STE 320
Glendale, AZ 85305
(888) 293-8008
This record was updated on Mar 1, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104623701 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 6 2 3 7 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 3 2 6 7 0

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104623701?
NPI 1104623701 is the National Provider Identifier assigned to Eddrena Bertram, PHLEBOTOMIST TECH in Glendale, AZ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Phlebotomy cover?
Definition to come...
How do I contact Eddrena Bertram, PHLEBOTOMIST TECH?
The phone number on file with NPPES is (888) 293-8008, last updated Mar 1, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104623701 a valid number?
Yes. 1104623701 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.