Island Dna & Testing Center LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

ISLAND DNA & TESTING CENTER LLC

Practice address

2620 Bragg Blvd Ste N
Fayetteville, NC 28303-4168

Phone

(910) 861-0853

NPI assigned

Apr 11, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Tiffany ThompsonNPI 1124872726

Title

Owner, Lab Director

Phone

(910) 861-0853

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tiffany Thompson, CEO, LAB DIRECTOR

  • Phlebotomy Technician
  • Fayetteville, NC
  • NPI 1124872726
  NPD Authorized official

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1366296972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 BRAGG BLVD STE N",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034168",
            "telephone_number": "910-861-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 BRAGG BLVD STE N",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034168",
            "telephone_number": "910-861-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND DNA & TESTING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER, LAB DIRECTOR",
        "authorized_official_telephone_number": "910-861-0853",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Tonge Irizarry, LCSW, LCAS
• Zola Isadore, PHARMD
• Udim Sunday Isang, PT, DPT, EDD
• Niveen Youssef Iskander, M.D.
• S. M. Jafrul Islam, M.D.
• Tiffany Israel
• It-S About You Logistics
• It-S About You, Inc
• It'S Just an Airway, Respiratory Consulting and Clinical Services
• Kimberly Akiye Michiko Ito, DPT

• Phlebotomy Technician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Phlebotomy Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.