Yolandas Medical Establishment

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

YOLANDAS MEDICAL ESTABLISHMENT

Practice address

401 Highway 82 W
Indianola, MS 38751-2030

Phone

(662) 276-4040

NPI assigned

Jul 26, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Yolanda Selders, CPT/MA

Title

Owner/Phlebotomist

Phone

(662) 276-4040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1568290823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 LONGINO ST",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390383718",
            "telephone_number": "662-276-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HIGHWAY 82 W",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512030",
            "telephone_number": "662-276-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLANDAS MEDICAL ESTABLISHMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "SELDERS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER/PHLEBOTOMIST",
        "authorized_official_telephone_number": "662-276-4040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPT/MA"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Hope Williams, PTA
• Gwendolyn Williams, C.F.N.P.
• Raymond Woo
• Previous J Woods, L.M.T
• Taylor Ellis Wright, PTA
• Whitney York, BSN, RN

• Phlebotomy Technician in Indianola, MS
• Providers in Indianola, MS by specialty
• Phlebotomy Technician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.