Individual provider Active NPI

Tammy Ann Mills

  • Phlebotomy Technician
  • Hagerstown, MD
National Provider Identifier
1447854187
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
289468 Issued in MD
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

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X MD
Phlebotomy TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
289468MDMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Labs on the Go, LLC Single Specialty CurrentSince Nov 17, 2024 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.

Verify at the official NPI Registry.