Jazlyn Aurelia Davis

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

29777 Telegraph Rd
Southfield, MI 48034-1303

Phone

(313) 425-1520

NPI assigned

Oct 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jazlyn Davis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Medtech LLC

  • Clinical Medical Laboratory
  • Southfield, MI
  • NPI 1053132274
  NPD Authorized official

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1598545212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20490 BIRWOOD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211002",
            "telephone_number": "313-213-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29777 TELEGRAPH RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341303",
            "telephone_number": "313-425-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAZLYN",
        "middle_name": "AURELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAZLYN",
            "last_name": "DAVIS",
            "credential": "LABORATORY DIRECTOR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Deidre Davis
• Denise Herring Davis
• Donna Denise Davis, LPC
• Erin A Davis, CRNA
• Gina Deshon Davis, LBSW
• Kevin Davis
• Laquanda Petoyce Davis, LMSW
• Lourie Ann Davis
• Mecada Davis
• Melanie Nicole Davis, LMSW

• Phlebotomy Technician in Southfield, MI
• Providers in Southfield, MI by specialty
• Phlebotomy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.