Active NPI
Tammy Ann Mills
- Phlebotomy Technician
- Hagerstown, MD
National Provider Identifier
1447854187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 289468
- Practice address
- 118 E Oak Ridge Dr Ste 2000
Hagerstown, MD 21740-7890 - Phone
- (301) 582-8563
- Fax
- (240) 536-9118
- NPI assigned
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | MD | ||
| Phlebotomy Technician | 246RP1900X | 289468 | MD | Primary |
Addresses
Primary practice location
118 E Oak Ridge Dr Ste 2000
Hagerstown, MD 21740-7890
Mailing address
12608 Indian Springs Rd
Clear Spring, MD 21722-1307
Phone (240) 527-1622
Other practice location 1
12608 Indian Springs Rd
Clear Spring, MD 21722-1307
Phone (240) 527-1622
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 |
|---|---|---|---|
| 289468 | MD | MD | Phlebotomy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Labs on the Go, LLC | Single Specialty | Current | Accepting new patients |
Locations
118 E Oak Ridge Dr
Ste 2000
Hagerstown, MD 21740
Phone (301) 678-1839
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1447854187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12608 INDIAN SPRINGS RD",
"city": "CLEAR SPRING",
"state": "MD",
"postal_code": "217221307",
"telephone_number": "240-527-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E OAK RIDGE DR STE 2000",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217407890",
"telephone_number": "301-582-8563",
"fax_number": "240-536-9118"
}
],
"practiceLocations": [
{
"address_1": "12608 Indian Springs Rd",
"address_purpose": "LOCATION",
"city": "Clear Spring",
"state": "MD",
"postal_code": "217221307",
"country_code": "US",
"telephone_number": "240-527-1622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLS",
"first_name": "TAMMY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": "MD",
"license": "289468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.