Taeveon Jakain Mason, CPT

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

10071 Broad River Rd Ste H
Irmo, SC 29063-2381

Phone

(803) 269-2168

NPI assigned

Sep 26, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1245954098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10071 BROAD RIVER RD STE H",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10071 BROAD RIVER RD STE H",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632381",
            "telephone_number": "803-269-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "TAEVEON",
        "middle_name": "JAKAIN",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmason@totacaremobilelab.net",
            "affiliation": "N",
            "address_1": "10071 Broad River Rd Ste H",
            "city": "Irmo",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290632381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Phlebotomy Technician in Irmo, SC
• Providers in Irmo, 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 Sep 29, 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.