DSM Diagnostics LLC

Primary specialty

Pathology TechnicianTaxonomy code 246R00000X

Legal business name

DSM DIAGNOSTICS LLC

Practice address

9008 Elk Grove Blvd # 21
Elk Grove, CA 95624-1945

Phone

(916) 246-0353

NPI assigned

Jun 8, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tina B Jefferson, PHLEMBOTOMIST

Title

Owner

Phone

(916) 246-0353

Specialties & licenses 1

Addresses

Other names 1

• DSM DIAGNOSTICS Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1033803200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 ELK GROVE BLVD # 21",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241945",
            "telephone_number": "916-246-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9008 ELK GROVE BLVD # 21",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241945",
            "telephone_number": "916-246-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSM DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-246-0353",
        "authorized_official_credential": "PHLEMBOTOMIST"
    },
    "taxonomies": [
        {
            "code": "246R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DSM DIAGNOSTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pathology Technician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Pathology Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.