Active NPI
Elite Sticks Testing LLC
- Phlebotomy Technician
- Hephzibah, GA
National Provider Identifier
1467136994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- ELITE STICKS TESTING LLC
- Practice address
- 2763 Tobacco Rd Ste B
Hephzibah, GA 30815-7051 - Phone
- (207) 987-1665
- NPI assigned
- Jun 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamika Smith
- Title
- Owner
- Phone
- (706) 469-8440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
2763 Tobacco Rd Ste B
Hephzibah, GA 30815-7051
Mailing address
2763 Tobacco Rd Ste B
Hephzibah, GA 30815-7051
Phone (207) 987-1665
National Provider Directory
National Provider DirectoryLocations
2763 Tobacco Rd
Ste B
Hephzibah, GA 30815
Phone (207) 987-1665
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686700800000",
"number": "1467136994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2763 TOBACCO RD STE B",
"city": "HEPHZIBAH",
"state": "GA",
"postal_code": "308157051",
"telephone_number": "207-987-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2763 TOBACCO RD STE B",
"city": "HEPHZIBAH",
"state": "GA",
"postal_code": "308157051",
"telephone_number": "207-987-1665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE STICKS TESTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "TAMIKA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-469-8440"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hephzibah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.