Dynasty Phlebotomy Services LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

DYNASTY PHLEBOTOMY SERVICES LLC

Practice address

2500 Garden St
Titusville, FL 32796-2501

Phone

(321) 603-0040

Fax

(321) 603-0046

NPI assigned

Sep 13, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Johnny Diggs III, CPTNPI 1760181770

Title

Ceo

Phone

(321) 603-0040

Specialties & licenses 1

Addresses

Other names 1

• Dynasty Phlebotomy Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnny Diggs III, C.P.T.

  • Phlebotomy Technician
  • Winter Park, FL
  • NPI 1760181770

  Phlebotomy

  NPD Authorized official

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1548047459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962501",
            "telephone_number": "321-603-0040",
            "fax_number": "321-603-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962501",
            "telephone_number": "321-603-0040",
            "fax_number": "321-603-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY PHLEBOTOMY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "DIGGS",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-603-0040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynasty Phlebotomy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Danielle Dufour
• Jeannette Duisberg, NP
• Annie Durand, PT
• Emily Durham, CNA
• Alexander Joseph Dutton, NP
• East Coast Pharmacy LLC
• Easterseals Florida, Inc.
• Easterseals Florida, Inc.
• Ebb and Flow Counseling, LLC
• Ecci, LLC

• All providers in Titusville, FL
• Phlebotomy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.