Individual provider Active NPI

Depaula Arnit Glover Ross, CPT

  • Phlebotomy Technician
  • Memphis, TN
National Provider Identifier
1407621709
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
A5H7R4Z7 Issued in TN
Practice address
5865 Ridgeway Center Pkwy Ste 300
Memphis, TN 38120-4014
Phone
(901) 621-3500
NPI assigned
Nov 17, 2023
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X A5H7R4Z7 TN Primary

Addresses

Primary practice location

5865 Ridgeway Center Pkwy Ste 300
Memphis, TN 38120-4014

Mailing address

1910 Madison Ave # 2619
Memphis, TN 38104-2620
Phone (901) 562-3230

Other names 1

  • Depaula Arnit Glover Former name

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

LicenseStateTypeSpecialty
A5H7R4Z7TNMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Meticulous Labs LLC Current Accepting new patients

Locations

5865 Ridgeway Center Pkwy
Ste 300
Memphis, TN 38120
Phone (901) 602-2935

1910 Madison Ave
Memphis, TN 38104
Phone (318) 828-2807

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.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1407621709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 MADISON AVE # 2619",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042620",
            "telephone_number": "901-562-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 RIDGEWAY CENTER PKWY STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204014",
            "telephone_number": "901-621-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER ROSS",
        "first_name": "DEPAULA",
        "middle_name": "ARNIT",
        "credential": "CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TN",
            "license": "A5H7R4Z7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEPAULA",
            "last_name": "GLOVER",
            "middle_name": "ARNIT",
            "credential": "CPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.