Active NPI
Kahlil Thomas
- Phlebotomy Technician
- Philadelphia, PA
National Provider Identifier
1033675723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 1027669
- Practice address
- 1540 S Stillman St
Philadelphia, PA 19146-4408 - Phone
- (312) 998-1624
- NPI assigned
- Feb 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 1027669 | PA | Primary |
Addresses
Primary practice location
1540 S Stillman St
Philadelphia, PA 19146-4408
Mailing address
1540 S Stillman St
Philadelphia, PA 19146-4408
Phone (312) 998-1624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1027669 | PA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1033675723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 S STILLMAN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191464408",
"telephone_number": "312-998-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 S STILLMAN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191464408",
"telephone_number": "312-998-1624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KAHLIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-18",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "PA",
"license": "1027669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.