Organization Active NPI

Tendercare Mobile Phlebotomy

  • Phlebotomy Technician
  • Columbia, MD
National Provider Identifier
1346022654
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
TENDERCARE MOBILE PHLEBOTOMY
Practice address
6515 Overheart LN
Columbia, MD 21045-4541
Phone
(667) 401-2864
NPI assigned
Oct 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Tiana DouglasgoeinsNPI 1669164109
Title
Mobile Phlebotomy
Phone
(667) 401-2864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

6515 Overheart LN
Columbia, MD 21045-4541

Mailing address

6515 Overheart LN
Columbia, MD 21045-4541
Phone (667) 401-2864

Other names 1

  • Tendercare Mobile Phlebotomy Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1346022654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 OVERHEART LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454541",
            "telephone_number": "667-401-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 OVERHEART LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454541",
            "telephone_number": "667-401-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDERCARE MOBILE PHLEBOTOMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "DOUGLASGOEINS",
        "authorized_official_first_name": "TIANA",
        "authorized_official_title_or_position": "MOBILE PHLEBOTOMY",
        "authorized_official_telephone_number": "667-401-2864"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tendercare Mobile Phlebotomy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

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

Verify at the official NPI Registry.