Active NPI
Crystal Hardy, PHLEBOTOMIST
- Phlebotomy Technician
- Lincolnton, GA
National Provider Identifier
1104457241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 20-1283Y09
- Practice address
- 145 Wells St
Lincolnton, GA 30817-3426 - Phone
- (706) 401-3749
- NPI assigned
- Jan 28, 2020
- Last updated
- Jan 28, 2020
- 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 | 20-1283Y09 | GA | Primary |
Addresses
Primary practice location
145 Wells St
Lincolnton, GA 30817-3426
Mailing address
145 Wells St
Lincolnton, GA 30817-3426
Phone (706) 401-3749
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 |
|---|---|---|---|
| 20-1283Y09 | GA | MD | Phlebotomy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easy Go Mobile Lab Service LLC | Phlebotomy | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Phlebotomy Technician
- Conyers, GA
- NPI 1538837349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1104457241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 WELLS ST",
"city": "LINCOLNTON",
"state": "GA",
"postal_code": "308173426",
"telephone_number": "706-401-3749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 WELLS ST",
"city": "LINCOLNTON",
"state": "GA",
"postal_code": "308173426",
"telephone_number": "706-401-3749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "CRYSTAL",
"credential": "PHLEBOTOMIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "GA",
"license": "20-1283Y09",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincolnton, GA
- Cheryl A Edwards, LPC
- Family Care Group of Thomson, Inc (Family Care Group)
- Cynthia Kyles Fox, RN
- Brenda B Goolsby, RN
- Lashonda Gunby
- Kimber Hardy
- Hospital Authority of Wilkes County (Community Medical Associates of Lincolnton)
- House of Hope
- Amy Poston Jenkins, RN, BSN
- Lincoln County Board of Commissioners (Lincoln County Office of EMS)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.