Gentle Sticks Mobile Phlebotomy

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GENTLE STICKS MOBILE PHLEBOTOMY

Practice address

4371 Charlotte Hwy Ste 22
Lake Wylie, SC 29710-8105

Phone

(803) 589-7999

NPI assigned

Jul 6, 2020

Organization subpart

No

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

Authorized official

Name

Kannesha Coleman, CPT, CNA, MED TECHNPI 1871254128

Title

Owner

Phone

(803) 589-7999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Kannesha Coleman

  • Phlebotomy Technician
  • Lake Wylie, SC
  • NPI 1871254128
  NPD Authorized official

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1396362414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 CHARLOTTE HWY STE 22",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108105",
            "telephone_number": "803-589-7999",
            "fax_number": "803-589-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 CHARLOTTE HWY STE 22",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108105",
            "telephone_number": "803-589-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE STICKS MOBILE PHLEBOTOMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "KANNESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-589-7999",
        "authorized_official_credential": "CPT, CNA, MED TECH"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlando Floyd
• Cheryl Arlene Foster, PT
• Amy Leigh Fronczkiewicz, PTA
• Nicole F Gaskins, LPC-A, LCMHC-A
• Aimee Gemme
• Taylor Gipson
• Glaza Chiropractic Center, Inc
• Al Glaza
• Connor Owen Glaza, DC
• Madison Elizabeth Harkey, OTR/L

• Clinical Medical Laboratory in Lake Wylie, SC
• Providers in Lake Wylie, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.