Carmen Michelle Wilson

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

155 N Lake Ave FL 8
Pasadena, CA 91101-1849

Phone

(818) 835-4306

NPI assigned

Apr 16, 2026

Sex

Female

Sole proprietor

Yes

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.

• Lulu Labs LLC

  • Phlebotomy Technician
  • Pasadena, CA
  • NPI 1669316139

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1649114117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N LAKE AVE FL 8",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N LAKE AVE FL 8",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011849",
            "telephone_number": "818-835-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CARMEN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Tennell Willoughby
• Willpower Recovery Center Inc
• Willpower Recovery LLC
• Wilshire Oncology Medical Group, Inc.
• Barry Wilson
• David Timothy Wilson, DPT
• Donny V. Wilson
• Erika Elyse Wilson
• Gina M Wilson, M.S.
• Janet Wilson, LCSW

• Phlebotomy Technician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.