Organization Active NPI

Phlebototmy on Wheels

  • Phlebotomy Technician
  • Sumter, SC
National Provider Identifier
1619660339
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
PHLEBOTOTMY ON WHEELS
Practice address
390 Country Springs Dr
Sumter, SC 29150-8317
Phone
(803) 464-0477
NPI assigned
May 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Taja Watford
Title
Owner
Phone
(803) 464-0477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

390 Country Springs Dr
Sumter, SC 29150-8317

Mailing address

390 Country Springs Dr
Sumter, SC 29150-8317
Phone (803) 464-0477

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1619660339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 COUNTRY SPRINGS DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291508317",
            "telephone_number": "803-464-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 COUNTRY SPRINGS DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291508317",
            "telephone_number": "803-464-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHLEBOTOTMY ON WHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "WATFORD",
        "authorized_official_first_name": "TAJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-464-0477"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

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