Elite-Diagnostic LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

ELITE-DIAGNOSTIC LLC

Doing business as

Elite-Diagnostic LLC

Practice address

1201 Highway 49 S Ste 5B
Richland, MS 39218-9438

Phone

(601) 665-0360

NPI assigned

Oct 4, 2024

Last updated

Oct 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Akimmie Lynn Lewis, PHLEBOTOMISTNPI 1003635335

Title

Director

Phone

(601) 665-0360

Specialties & licenses 2

Addresses

Other names 1

• Elite-Diagnostic LLC Doing business as

Locations

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.

• Akimmie Lynn Lewis, PHLEBOTOMIST

  • Other Technician
  • Richland, MS
  • NPI 1003635335

  Technician, Other

  NPD Authorized official

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1144049495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 HIGHWAY 49 S STE 5B",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392189438",
            "telephone_number": "601-665-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HIGHWAY 49 S STE 5B",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392189438",
            "telephone_number": "601-665-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE-DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "AKIMMIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-665-0360",
        "authorized_official_credential": "PHLEBOTOMIST"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite-Diagnostic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Phlebotomy Technician in Richland, MS
• Providers in Richland, MS by specialty
• Phlebotomy Technician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.