Active NPI
Mequel Henderson, PHLEBOTOMIST
- Phlebotomy Technician
- Bessemer, AL
National Provider Identifier
1063133296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- G2Y3J4L5
- Practice address
- 833 Allison Bonnett Memorial Dr Ste 151
Bessemer, AL 35023-1884 - Phone
- (480) 791-6233
- NPI assigned
- Sep 6, 2022
- Sex
- Female
- 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 | G2Y3J4L5 | AL | Primary |
Addresses
Primary practice location
833 Allison Bonnett Memorial Dr Ste 151
Bessemer, AL 35023-1884
Mailing address
833 Allison Bonnett Memorial Dr Ste 151
Bessemer, AL 35023-1884
Phone (480) 791-6233
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 |
|---|---|---|---|
| G2Y3J4L5 | AL | MD | Phlebotomy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Wellness Lab | Phlebotomy | Current | Accepting new patients |
Locations
833 Allison Bonnett Memorial Dr
Ste 151
Bessemer, AL 35023
Phone (480) 791-6233
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1063133296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 ALLISON BONNETT MEMORIAL DR STE 151",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350231884",
"telephone_number": "480-791-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 ALLISON BONNETT MEMORIAL DR STE 151",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350231884",
"telephone_number": "480-791-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "MEQUEL",
"credential": "PHLEBOTOMIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "AL",
"license": "G2Y3J4L5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.