Dwayne Cedrick Byrd, MT ASCP

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

TN36553 Issued in FL

Practice address

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Phone

(904) 953-2122

NPI assigned

Nov 26, 2012

Last updated

Nov 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1073857470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14478 MILLHOPPER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322583128",
            "telephone_number": "904-338-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SAN PABLO RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241865",
            "telephone_number": "904-953-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "DWAYNE",
        "middle_name": "CEDRICK",
        "name_prefix": "Mr.",
        "credential": "MT ASCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "FL",
            "license": "TN36553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leronda Byrd-Saunders, ADMINISTRATOR
• Anita Cecilia Byrd, CNM
• Ashton Byrd, APRN
• Claire J Byrd, APRN,F.N.P.-C.
• Danita A Byrd, LMHC
• Holly Howell Byrd, RN, APRN
• Jessica Barrett Byrd, BCBA
• Joe Byrd
• Juliane Byrd, M.S. CCC/SLP
• Kerlicia Danielle Byrd

• Medical Technologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Medical Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.