Organization Active NPI

Letash LLC

  • Clinical Medical Laboratory
  • Olive Branch, MS
National Provider Identifier
1568251213
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LETASH LLC
Practice address
9037 Billy Pat Dr
Olive Branch, MS 38654-6844
Phone
(901) 846-2272
NPI assigned
Apr 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Letasha DantzlerNPI 1770372427
Title
Ceo
Phone
(901) 846-2272

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

9037 Billy Pat Dr
Olive Branch, MS 38654-6844

Mailing address

9037 Billy Pat Dr
Olive Branch, MS 38654-6844
Phone (901) 846-2272

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1568251213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9037 BILLY PAT DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546844",
            "telephone_number": "901-846-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9037 BILLY PAT DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546844",
            "telephone_number": "901-846-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETASH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "DANTZLER",
        "authorized_official_first_name": "LETASHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-846-2272"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.