Active NPI
Eliana Porchia
- Phlebotomy Technician
- Merrill, MI
National Provider Identifier
1396439683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 41069-166-791-6930
- Practice address
- 22040 Gratiot Rd
Merrill, MI 48637-8707 - Phone
- (989) 715-2050
- Fax
- (989) 794-6226
- NPI assigned
- Jun 8, 2023
- Last updated
- Jun 8, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 41069-166-791-6930 | MI | Primary |
Addresses
Primary practice location
22040 Gratiot Rd
Merrill, MI 48637-8707
Mailing address
PO Box 142
Merrill, MI 48637-0142
Phone (989) 715-2050
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41069-166-791-6930 | MI | MD | Phlebotomy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Phlebotomy of Central Michigan | Phlebotomy | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Phlebotomy Technician
- Merrill, MI
- NPI 1407319395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1396439683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 142",
"city": "MERRILL",
"state": "MI",
"postal_code": "486370142",
"telephone_number": "989-715-2050",
"fax_number": "989-794-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22040 GRATIOT RD",
"city": "MERRILL",
"state": "MI",
"postal_code": "486378707",
"telephone_number": "989-715-2050",
"fax_number": "989-794-6226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORCHIA",
"first_name": "ELIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-08",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "MI",
"license": "41069-166-791-6930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrill, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.