Active NPI
Tyler Malone
- Phlebotomy Technician
- Royal Oak, MI
National Provider Identifier
1215706171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- N23103560
- Practice address
- 4949 Coolidge Road
Royal Oak, MI 48073 - Phone
- (313) 732-2208
- NPI assigned
- Dec 20, 2023
- 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 | N23103560 | MI | Primary |
Addresses
Primary practice location
4949 Coolidge Road
Royal Oak, MI 48073
Mailing address
607 Shelby St Ste 700
Detroit, MI 48226-3282
Phone (313) 732-2208
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 |
|---|---|---|---|
| N23103560 | MI | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1215706171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 SHELBY ST STE 700",
"city": "DETROIT",
"state": "MI",
"postal_code": "482263282",
"telephone_number": "313-732-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4949 COOLIDGE ROAD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "313-732-2208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "TYLER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-20",
"last_updated": "2023-12-20",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "MI",
"license": "N23103560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.