Active NPI
Zahiyah T Hasan, NRMA, NRCPT
- Phlebotomy Technician
- Columbia, SC
National Provider Identifier
1356095954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 134339
- Practice address
- 2712 Middleburg Dr
Suite 104
Columbia, SC 29204 - Phone
- (803) 830-2048
- NPI assigned
- Feb 11, 2022
- Reactivated
- Apr 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 134339 | KS | Primary |
Addresses
Primary practice location
2712 Middleburg Dr
Suite 104
Columbia, SC 29204
Mailing address
7821 Saint Andrews Rd # 26852712
Irmo, SC 29063-4220
Phone (803) 830-2048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356095954 | Medicaid | SC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134339 | KS | MD | Phlebotomy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zmobile Lab LLC | Phlebotomy | Current | Accepting new patients |
Locations
2712 Middleburg Dr
Ste 104
Columbia, SC 29204
Phone (803) 830-2048
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.
-
- Phlebotomy Technician
- Columbia, SC
- NPI 1912641887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653868800000",
"number": "1356095954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7821 SAINT ANDREWS RD # 26852712",
"city": "IRMO",
"state": "SC",
"postal_code": "290634220",
"telephone_number": "803-830-2048",
"fax_number": "803-667-9673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2712 MIDDLEBURG DR",
"address_2": "SUITE 104",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29204",
"telephone_number": "803-830-2048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASAN",
"first_name": "ZAHIYAH",
"middle_name": "T",
"credential": "NRMA, NRCPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-11",
"last_updated": "2022-05-30",
"certification_date": "2022-05-30",
"deactivation_date": "2022-03-25",
"reactivation_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "KS",
"license": "134339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356095954",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.