Individual provider Active NPI

Marquita A Norman, PHLEBOTOMY TECH

  • Phlebotomy Technician
  • Montgomery, AL
National Provider Identifier
1598562423
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
15636126 Issued in AL
Practice address
1460 Ann St Ste 4
Montgomery, AL 36107-3103
Phone
(334) 424-7508
NPI assigned
Feb 27, 2025
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 15636126 AL Primary

Addresses

Primary practice location

1460 Ann St Ste 4
Montgomery, AL 36107-3103

Mailing address

1460 Ann St Ste 4
Montgomery, AL 36107-3103
Phone (334) 721-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

631 W Fairview Ave
Suite a
Montgomery, AL 36105-1544

631 W Fairview Ave a
Montgomery, AL 36105-1544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15636126ALMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Just a Stik Away Lab Services LLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

1460 Ann St
Ste 4
Montgomery, AL 36107
Phone (334) 424-7508

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1598562423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 ANN ST STE 4",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361073103",
            "telephone_number": "334-721-7222",
            "fax_number": "334-721-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 ANN ST STE 4",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361073103",
            "telephone_number": "334-424-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "MARQUITA",
        "middle_name": "A",
        "credential": "PHLEBOTOMY TECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "AL",
            "license": "15636126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.