Active NPI
Mobile Stick
- Phlebotomy Technician
- Savannah, GA
National Provider Identifier
1396230074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- MOBILE STICK
- Practice address
- 23 Ristona Dr
Savannah, GA 31419-6220 - Phone
- (912) 441-8935
- NPI assigned
- Jun 26, 2018
- Last updated
- Jun 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Letarsha Brown
- Title
- Certified Phlebotomist/PCT
- Phone
- (912) 417-9568
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
23 Ristona Dr
Savannah, GA 31419-6220
Mailing address
PO Box 1033
Rincon, GA 31326-1033
Phone (912) 441-8935
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Phlebotomy Technician
- Savannah, GA
- NPI 1649765504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590969600000",
"number": "1396230074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1033",
"city": "RINCON",
"state": "GA",
"postal_code": "313261033",
"telephone_number": "912-441-8935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 RISTONA DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314196220",
"telephone_number": "912-441-8935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE STICK",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-26",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "LETARSHA",
"authorized_official_title_or_position": "CERTIFIED PHLEBOTOMIST/PCT",
"authorized_official_telephone_number": "912-417-9568"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.