Delorus Enterprises LLC

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

Legal business name

DELORUS ENTERPRISES LLC

Doing business as

Mobile Donor Sourcing

Practice address

4274 Columbia Park Rd
Pomfret, MD 20675-3237

Phone

(202) 531-5790

NPI assigned

Nov 18, 2022

Last updated

Jul 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephine Ransom, MT(ASCP)

Title

Principle Investigator

Phone

(202) 531-5790

Specialties & licenses 1

Addresses

Other names 1

• Mobile Donor Sourcing Doing business as

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1508575564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4274 COLUMBIA PARK RD",
            "city": "POMFRET",
            "state": "MD",
            "postal_code": "206753237",
            "telephone_number": "202-531-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4274 COLUMBIA PARK RD",
            "city": "POMFRET",
            "state": "MD",
            "postal_code": "206753237",
            "telephone_number": "202-531-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELORUS ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "RANSOM",
        "authorized_official_first_name": "STEPHINE",
        "authorized_official_title_or_position": "PRINCIPLE INVESTIGATOR",
        "authorized_official_telephone_number": "202-531-5790",
        "authorized_official_credential": "MT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Donor Sourcing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mobile Donor Sourcing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Gibson Boenig, PHARMD
• Nicole Leonie Ho-Sang, C.S.A
• Julianne Lo Grasso, ATC, LAT
• Kathleen Carpentier Snellings, D.D.S.
• Heather Walzel, PHD
• Karen Willett, LPN

• Research Study Specialist in Pomfret, MD
• Providers in Pomfret, MD by specialty
• Research Study Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.