Angela Carri Collins, MLT,ASCP

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

158 Crimson Cir
Reliance Road Suite
Martinsburg, WV 25403-6611

Phone

(304) 262-4757

Fax

(304) 262-4759

NPI assigned

Feb 21, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Shenandoah Laboratories, LLC

  • Clinical Medical Laboratory
  • Martinsburg, WV
  • NPI 1053585893
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1528237898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CRIMSON CIR",
            "address_2": "RELIANCE ROAD SUITE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254036611",
            "telephone_number": "304-262-4757",
            "fax_number": "304-262-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CRIMSON CIR",
            "address_2": "RELIANCE ROAD SUITE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254036611",
            "telephone_number": "304-262-4757",
            "fax_number": "304-262-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ANGELA",
        "middle_name": "CARRI",
        "credential": "MLT,ASCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011417",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Michelle Coleman, RN
• Price Barrett Coleman, PT
• Collective Wisdom PLLC
• Amanda Lynn Collier, D.C.
• Margaret Collier
• Christine Collins
• Deborah Collins
• Diana Collins
• Karen L Collins, DDS
• Pamela Elaine Collins, LCADC

• Clinical Medical Laboratory in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.