DAVIS MEDICAL PROFESSIONALS NPI 1275220212

NPI Information

NPI: 1275220212
Provider Name: DAVIS MEDICAL PROFESSIONALS
Classification: Technician, Pathology - 246RP1900X
Entity Type: Organization

Specialization: Phlebotomy

CLIA Number: 45D2280431

Address:
802 N HIGH ST STE C
LONGVIEW, TX
ZIP 75601
Phone: (903) 431-5799
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DAVIS MEDICAL PROFESSIONALS is a phlebotomy technician pathology in Longview, TX. DAVIS MEDICAL PROFESSIONALS NPI is 1275220212. The provider is registered as an organization entity type.

The provider's business location address is:

802 N HIGH ST STE C
LONGVIEW, TX
ZIP 75601-383
Phone: (903) 431-5799

The provider's authorized official is Quetilla Attaway .
The authorized official title is Phlebotomist/specimen Collector and has the following contact phone number (903) 431-5799.

The CLIA number assigned to this NPI record is 45D2280431 - other - specimen collection site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2023 and was last updated on 4/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory				No
2	246RP1900X	Technician, Pathology	Phlebotomy			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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