Blood Diamond Mobile Laboratory LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

BLOOD DIAMOND MOBILE LABORATORY LLC

Doing business as

Blood Diamond Mobile Laboratory LLC

Practice address

1212 River Rush LN NE
Conyers, GA 30012-6613

Phone

(770) 875-3947

NPI assigned

May 10, 2024

Last updated

Aug 23, 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

Mrs. Roxann A Dooling, CPT, CCMA, CMA, CNANPI 1063266419

Title

Owner/ Phlebotomist

Phone

(770) 875-3947

Specialties & licenses 2

Addresses

Other names 1

• Blood Diamond Mobile Laboratory 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.

• Roxann Dooling, CPT, CCMA, CMA, CNA

  • Phlebotomy Technician
  • Lithonia, GA
  • NPI 1063266419
  NPD Authorized official

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1184472441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 COMMERCE DR SW STE C",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946624",
            "telephone_number": "770-762-6019",
            "fax_number": "770-790-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 RIVER RUSH LN NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300126613",
            "telephone_number": "770-875-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOD DIAMOND MOBILE LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "DOOLING",
        "authorized_official_first_name": "ROXANN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ PHLEBOTOMIST",
        "authorized_official_telephone_number": "770-875-3947",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPT, CCMA, CMA, CNA"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blood Diamond Mobile Laboratory LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blood Diamond Mobile Laboratory LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tangella Black
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• Mekeya Blake, LCSW
• Alicia Blanton, DPT
• Blood Stone and Pearl Transportation
• Bloodstone and Pearl Transportation, LLC
• Jacqueline Cierra Bobo, LMSW
• William Murray Boggus
• Regina C Bogle, NP

• Phlebotomy Technician in Conyers, GA
• Providers in Conyers, GA by specialty
• Phlebotomy Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.