Phyllis Smith, NA, CPC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

3849 Saint Barnabas Rd Apt T2
Suitland, MD 20746-3238

Phone

(240) 350-2943

Fax

(866) 528-1035

NPI assigned

Jul 3, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Idts-Mobile Specimen Collection Lab LLC

  • Community Health Worker
  • Suitland, MD
  • NPI 1417847310
  NPD Authorized official
• Integrity Drug Testing Services LLC

  • Community Health Worker
  • St Petersburg, FL
  • NPI 1750269692
  NPD Authorized official

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1376433276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 SAINT BARNABAS RD APT T2",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207463238",
            "telephone_number": "240-350-2943",
            "fax_number": "866-528-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 SAINT BARNABAS RD APT T2",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207463238",
            "telephone_number": "240-350-2943",
            "fax_number": "866-528-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHYLLIS",
        "name_prefix": "Ms.",
        "credential": "NA, CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Suitland, MD
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.