Active NPI
Malaysia Jackson
- Phlebotomy Technician
- Cincinnati, OH
National Provider Identifier
1295329381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 1171 E Kemper Rd Ste 201
Cincinnati, OH 45246-3322 - Phone
- (513) 400-4005
- NPI assigned
- Mar 1, 2021
- 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 | Primary |
Addresses
Primary practice location
1171 E Kemper Rd Ste 201
Cincinnati, OH 45246-3322
Mailing address
7975 Canada Ave Unit 712
Orlando, FL 32819-9346
Phone (513) 400-4005
Other practice location 1
7208 W Sand Lake Rd Ste 305
Orlando, FL 32819-5279
Phone (513) 400-4005
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surepoint Solutions LLC | Phlebotomy | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1295329381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7975 CANADA AVE UNIT 712",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328199346",
"telephone_number": "513-400-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 E KEMPER RD STE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452463322",
"telephone_number": "513-400-4005"
}
],
"practiceLocations": [
{
"address_1": "7208 W Sand Lake Rd Ste 305",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328195279",
"country_code": "US",
"telephone_number": "513-400-4005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "MALAYSIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-01",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.