Divine Mobile Phlebotomy Services

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

DIVINE MOBILE PHLEBOTOMY SERVICES

Practice address

2675 Maidenhair LN
Sumter, SC 29153-9521

Phone

(803) 305-2177

NPI assigned

Mar 11, 2022

Last updated

Mar 11, 2022By 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

Ms. Lisa Rufus, RPT

Title

Chief Executive Officer

Phone

(803) 305-2177

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1164170973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 MAIDENHAIR LN",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291539521",
            "telephone_number": "803-305-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 MAIDENHAIR LN",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291539521",
            "telephone_number": "803-305-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MOBILE PHLEBOTOMY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "RUFUS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "803-305-2177",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocco Disanto
• Elizabeth Marie Disher, APRN
• Briana Dishongh, M. ED., NCC, CACP
• Divine Home Care Solutions, LLC
• Divine Inspiration Home Care LLC
• Adriel Gene Dizon, MD
• Doctors Care SC, PA (Doctors Care Sumter)
• Doctors Eye Center, PA
• Amanda Dodge, BCABA
• Ebony La'Toya Dollard

• Phlebotomy Technician in Sumter, SC
• Providers in Sumter, SC by specialty
• Phlebotomy Technician in South Carolina

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

Verify at the official NPI Registry.