Sky Dodson, NRCPT, NRCMA

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

94934 Issued in TX

Practice address

626 Beck Ave
Lake Dallas, TX 75065-2500

Phone

(972) 948-3072

Fax

(973) 276-7397

NPI assigned

May 10, 2024

Last updated

Jun 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ondemand Mobile Lab

  • Clinical Medical Laboratory
  • Lake Dallas, TX
  • NPI 1629826839
  NPD Authorized official

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717286400000",
    "number": "1215785464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 BECK AVE",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750652500",
            "telephone_number": "972-948-3072",
            "fax_number": "972-767-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 BECK AVE",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750652500",
            "telephone_number": "972-948-3072",
            "fax_number": "973-276-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "SKY",
        "credential": "NRCPT, NRCMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-06-02",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TX",
            "license": "94934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phlebotomy Technician in Lake Dallas, TX
• Providers in Lake Dallas, TX by specialty
• Phlebotomy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.