Cherron Lakisha Blakely, MT, CLS

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

9909695 Issued in MD

Practice address

1826 Veterans Blvd
BLDG 3a, Pathology and Laboratory Medicine
Dublin, GA 31021-3620

Phone

(478) 277-2750

Fax

(478) 277-2840

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073630059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 HATCHEE RIDGE RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310210888",
            "telephone_number": "478-676-3081",
            "fax_number": "478-277-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 VETERANS BLVD",
            "address_2": "BLDG 3A, PATHOLOGY AND LABORATORY MEDICINE",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213620",
            "telephone_number": "478-277-2750",
            "fax_number": "478-277-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKELY",
        "first_name": "CHERRON",
        "middle_name": "LAKISHA",
        "name_prefix": "Mrs.",
        "credential": "MT, CLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "MD",
            "license": "219139",
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "MD",
            "license": "9909695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah S Bethea, COTA/L
• Billy H Moses Jr MD LLC
• Shekema Bivings, NP
• Emmett Wheeless Black Jr., DMD
• Amy Blake, MD
• Meredith Jane Blalock, PHARMD
• Michael Ray Bland, LMSW
• Brian Arashene Blount, CPHT
• Blue Skies Senior Services, Inc. (Caring Companions)
• Ebony Blue

• Medical Technologist in Dublin, GA
• Providers in Dublin, GA by specialty
• Medical Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.