MS. CARMELLA DIANE MOREGRASS


Address: 1432 S 56th St, Philadelphia, PA 19143-4733
Phone: 2157292019

MS. CARMELLA DIANE MOREGRASS (NPI# 1114118627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114118627
Entity Type Individual
Full Name MS. CARMELLA DIANE MOREGRASS
Credential PHLEBOTOMIST
Practice Address 1432 S 56th St
Philadelphia
PA 19143-4733
Mailing Address 1432 S 56th Street
Philadelphia
PA 19143
Practice Telephone 2157292019
Practice Fax Number 2157292019
Mailing Telephone 2157292019
Mailing Fax Number 2157292019
Enumeration Date 2007-08-08
Last Update Date 2007-08-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
PA Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 1432 S 56TH ST
City PHILADELPHIA
State PA
Zip Code 19143-4733

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Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023625829 Latoya S Goines Technician, Pathology 3447 N Hope St, Philadelphia, PA 19140-4616 2020-09-25
1285294918 Fatima Elizabeth Valladares Technician, Pathology 9601 Ashton Rd Apt J10, Philadelphia, PA 19114-2415 2019-06-14
1033675723 Kahlil Thomas Technician, Pathology 1540 S Stillman St, Philadelphia, PA 19146-4408 2019-02-18
1720544182 Dawn Annissa Huling Technician, Pathology 44 E Collom St, Philadelphia, PA 19144-2319 2019-02-11
1740763341 Healing Hands Mobile Phlebotomy Technician, Pathology 7812 Rugby St, Philadelphia, PA 19150-2510 2018-09-10
1215373790 Donna M Norman Technician, Pathology 2611 S 66th St, Philadelphia, PA 19142-2802 2013-05-10
1669706933 Dominique D Shields Technician, Pathology 1526 S Front St, Philadelphia, PA 19147-5518 2009-09-19
1871989673 Accurate Stick Mobile Phlebotomy Services Technician, Pathology 2830 W Clementine St, Philadelphia, PA 19132-1234 2015-04-09
1558789461 Denise Ransom Technician, Pathology 6725 Grovers Ave, Philadelphia, PA 19142-2608 2014-03-29
1962730226 Stephanie Michelle Joyner Technician, Pathology 3858 Pulaski Ave, Philadelphia, PA 19140-3540 2009-11-25
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Competitor

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City PHILADELPHIA
Zip Code 19143

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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