SO MD MOBILE PHLEBOTOMY SERVICES (NPI# 1760004261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760004261 |
| Entity Type | Organization |
| Organization Name | SO MD MOBILE PHLEBOTOMY SERVICES |
| Practice Address |
943 Walnut Grove Rd Essex MD 21221-5906 |
| Practice Telephone | 2402297043 |
| Mailing Telephone | 2402297043 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | KEISHA DAVIS (OWNER) |
| Authorized Official Telephone | 2402297043 |
| Authorized Official Credential | CPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Generational Wealth Tax Services | Doing Business As Name - Organization |
| Street Address |
943 WALNUT GROVE RD |
| City | ESSEX |
| State | MD |
| Zip Code | 21221-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760992879 | Mercy First Healthcare Solutions | Home Health | 1633 Renaissance Drive, Baltimore, MD 21221 | 2017-10-03 |
| 1659801686 | Preferred Mobility, LLC | Durable Medical Equipment & Medical Supplies | 7110 Golden Ring Rd, Suite 102, Essex, MD 21221 | 2017-06-13 |
| 1588116594 | Beverly Hogan | Speech-Language Pathologist | 8839 Kelso Drive Suite A & B, Essex, MD 21221 | 2016-10-26 |
| 1851764740 | Walgreens#2446 | Clinic/Center | 6 South Marlyn Ave, Essex, MD 21221 | 2015-11-02 |
| 1982070413 | Sonay Naqib | Dentist | 1346 Eastern Boulevard, Essex, MD 21221 | 2015-08-19 |
| 1225423411 | Vivid Home Care Service Inc | Home Health | 1111 Country Terrace Road, Apartment E, Essex, MD 21221 | 2015-04-03 |
| 1831584184 | Kfm Inc | Pharmacy | 901 Eastern Blvd, Suite 100, Essex, MD 21221 | 2015-04-03 |
| 1063811420 | Eliza Chappelle | Pharmacist | 500 Eastern Avenue, Baltimore, MD 21221 | 2014-08-21 |
| 1316350549 | Stephen Riggin Jr. | Pharmacist | 500 Eastern Ave., Essex, MD 21221 | 2014-06-05 |
| 1891118899 | Shiphrah Birthing Services | Midwife | 617 Stemmers Run Rd Ste E, Essex, MD 21221 | 2014-01-27 |
| Find all providers in zip 21221 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253514 | Samantha Tonnette Toyin Bramwell | Technician, Pathology | 1515 November Cir Apt 103, Silver Spring, MD 20904-6947 | 2020-10-20 |
| 1710585641 | Lakisa R Flood | Technician, Pathology | 8464 Fieldstone Way, Hyattsville, MD 20785-4779 | 2020-10-13 |
| 1396352829 | Tyesha Brittany Williams | Technician, Pathology | 1014 Lyndhurst St, Baltimore, MD 21229-1924 | 2020-09-29 |
| 1851903512 | Teaira Geneva Milburn | Technician, Pathology | 3828 Lakewood Pl, Waldorf, MD 20602-1429 | 2020-08-23 |
| 1558901272 | Danielle Brown | Technician, Pathology | 2628 Lehman St, Baltimore, MD 21223-2809 | 2020-01-10 |
| 1184264855 | Janet Sumpter | Technician, Pathology | 654 W Kingsway, Middle River, MD 21220-4925 | 2020-01-10 |
| 1497394365 | Brittany D Judd | Technician, Pathology | 3465 Regency Pkwy, District Heights, MD 20747-3817 | 2019-12-24 |
| 1366083420 | Tanisha Nekita Demessa | Technician, Pathology | 13244 Musicmaster Dr, Silver Spring, MD 20904-6807 | 2019-09-30 |
| 1558820456 | Molita Bryant | Technician, Pathology | 4500 Forbes Blvd Fl 2, Lanham, MD 20706-6312 | 2019-03-19 |
| 1508324294 | Phlebotomy On Wheels LLC | Technician, Pathology | 5004 Honeygo Center Dr Ste 102-133, Perry Hall, MD 21128-8963 | 2019-03-12 |
| Find all providers with the same taxonomy | ||||
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| 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.