Deidra Amico, CPT, CET
Individual provider Active NPI Phlebotomy Technician · Maricopa, AZ
NPI 1639855331 · NPPES record last updated Jun 30, 2023
Key facts
- NPI
- 1639855331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Phlebotomy Technician 246RP1900X
- License
- R9H3P3P4 (NJ)
- Practice address
- 45096 W Buckhorn TRL
Maricopa, AZ 85139-4171 - Phone
- (520) 431-2518
- NPI assigned
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9H3P3P4 | NJ | MD | Phlebotomy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Vibrations LLC | Single Specialty | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician |
246RP1900X | R9H3P3P4 | NJ | Yes |
Addresses
Primary practice location
45096 W Buckhorn TRL
Maricopa, AZ 85139-4171
Mailing address
45096 W Buckhorn TRL
Maricopa, AZ 85139-4171
Phone (520) 431-2518
Other providers in Maricopa, AZ
- Elizabeth Ann Allen
- Sara Leah Allen
- Alliance Oncology of Arizona, LLC
- Dusty Matthew Allred
- Natalia Alvear
- Amity Non-Emergency Transportation
- Darryl. Anderson
- Sheena Anderson
- Anthony Michael Andres
- Ani-G Wellness Residency LLC
All providers in Maricopa, AZ · Phlebotomy Technician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.