Active NPI
KDM Heart of Phlebotomy
- Phlebotomy Technician
- Milldale, CT
National Provider Identifier
1053240127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Eddaneshia Yolanda Parks
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Phlebotomy Technician
- Milldale, CT
- NPI 1962354753
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
- Karen Hwang
- Interstate Chiropractic Shaw Robert N & E M Wagner PTRS
- John E. Rivera Jr., M.D., LLC (Southington Family Medical Center)
- John E. Rivera, M.D., P.C. (Southington Family Medical Center)
- Tia Kaysaundra Johnson, BCBA 1-19-38888
- Neck & Back Pain Relief Center LLC
- Palmera Behavioral Health and Wellness
- Eddaneshia Yolanda Parks
- Diane Marie Peloquin, R.P.T
- Daniel Alfred Ragozzine, DC
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.