Organization Active NPI

KDM Heart of Phlebotomy

  • Phlebotomy Technician
  • Milldale, CT
National Provider Identifier
1053240127
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
KDM HEART OF PHLEBOTOMY
Practice address
1656 Meriden Wtby Tpke
Milldale, CT 06467-6507
Phone
(203) 220-1804
NPI assigned
May 15, 2026
Last updated
May 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Ms. Eddaneshia Yolanda ParksNPI 1962354753
Title
Phlebotomist
Phone
(203) 220-1804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X Primary

Addresses

Primary practice location

1656 Meriden Wtby Tpke
Milldale, CT 06467-6507

Mailing address

1656 Meriden Wtby Tpke
Milldale, CT 06467-6507
Phone (203) 220-1804

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1053240127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 MERIDEN WTBY TPKE",
            "city": "MILLDALE",
            "state": "CT",
            "postal_code": "064676507",
            "telephone_number": "203-220-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 MERIDEN WTBY TPKE",
            "city": "MILLDALE",
            "state": "CT",
            "postal_code": "064676507",
            "telephone_number": "203-220-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDM HEART OF PHLEBOTOMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "EDDANESHIA",
        "authorized_official_middle_name": "YOLANDA",
        "authorized_official_title_or_position": "PHLEBOTOMIST",
        "authorized_official_telephone_number": "203-220-1804",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milldale, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.