Mini Vetticadan, MLS (ASCP)

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

License

03345289 Issued in TX

Practice address

3245 Reid Dr Ste B
Corpus Christi, TX 78404-2518

Phone

(361) 500-8452

NPI assigned

Aug 20, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Alaine Diagnostic LLC

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1104454651
  NPD Authorized official
• Bio Choice Laboratory, Inc

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1831618768
  NPD Authorized official

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

{
    "created_epoch": "1503187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503187200000",
    "number": "1477079556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 EMBER BRANCH DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591108",
            "telephone_number": "832-746-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 REID DR STE B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042518",
            "telephone_number": "361-500-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTICADAN",
        "first_name": "MINI",
        "credential": "MLS (ASCP)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-20",
        "last_updated": "2017-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "TX",
            "license": "03345289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Jedidiah Verduzco, RDN, LD
• Veronica Vergara
• Kimberly Cara Vernon, MS, CCC-SLP
• Wendy D. Vest, LCDC
• Veteran Home Care LLC
• Alexandre Vial-Nadeau, D.M.D.
• John J Vicknair Jr., C.P., L..P.
• Scott Patrick Vicknair, C.P,L.P.
• Victoria Orthotic and Prosthetic Services, Inc
• Aileen Michelle Decierdo Vidal, MD

• Medical Laboratory Technician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Medical Laboratory Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2017; 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.