Aderemi O Afonja

Primary specialty

Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X

Practice address

107 Ranch Road 620 S Ste 111Ab
Lakeway, TX 78734-3942

Phone

(512) 361-7935

Fax

(512) 244-0021

NPI assigned

Nov 16, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Redoy Corporation

  • Laboratory Management Specialist/Technologist
  • Lakeway, TX
  • NPI 1326916651
  NPD Authorized official

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1588439822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 RANCH ROAD 620 S STE 111AB",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787343942",
            "telephone_number": "512-361-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 RANCH ROAD 620 S STE 111AB",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787343942",
            "telephone_number": "512-361-7935",
            "fax_number": "512-244-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFONJA",
        "first_name": "ADEREMI",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abed Abdelaziz
• Achieve PT, PLLC (Achieve Manual Physical Therapy)
• Karen Alexandra Acosta, MD
• Madeline Adams, PT, DPT
• Shubha Adeni, M.D.
• Ageless Abandon
• Agilitas USA, Inc (Results Physiotherapy)
• Irma Angelica Aguirre
• Andrea Ahern, RD, LD
• Faheem Ahmed, M.D.

• Pathology Specialist/Technologist in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Pathology Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.