Latadra S Thomas

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

231 Vincenne Rd
Columbia, SC 29212-3342

Phone

(478) 299-2244

NPI assigned

Oct 4, 2023

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

Other names 1

• Convenient Clinical Labs LLC Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Convenient Clinical Labs LLC

  • Phlebotomy Technician
  • Columbia, SC
  • NPI 1760255491
  NPD Authorized official

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1396525580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 VINCENNE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123342",
            "telephone_number": "478-299-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 VINCENNE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123342",
            "telephone_number": "478-299-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LATADRA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONVENIENT CLINICAL",
            "last_name": "LABS LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kanesha Thomas
• Kate Thomas, PHARMD
• Kiana Thomas, LPC
• Kimberly Thomas
• Kimberly Ann Thomas
• Lauren Thomas
• Madellyne Thomas
• Marcus Thomas, MA, LPC
• Megan Leanne Ash Thomas, AU.D.
• Michael Cleveland Thomas

• Phlebotomy Technician in Columbia, SC
• Providers in Columbia, SC by specialty
• Phlebotomy Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.