Divine Trinity Mobile Lab & CPR Services, LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

DIVINE TRINITY MOBILE LAB & CPR SERVICES, LLC

Practice address

6213 W Fayetteville Rd
Riverdale, GA 30296-2953

Phone

(470) 800-5251

NPI assigned

Aug 6, 2024

Last updated

Aug 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gloria RodgersNPI 1124612437

Title

Founder

Phone

(470) 800-5251

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gloria Rodgers

  • Home Health Aide
  • Cleveland, OH
  • NPI 1124612437

  Phlebotomy

  NPD Authorized official

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1659101517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WOODMONT LN NW STE 3334",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866",
            "telephone_number": "470-800-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 W FAYETTEVILLE RD",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302962953",
            "telephone_number": "470-800-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TRINITY MOBILE LAB & CPR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "470-800-5251"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Angel Dicristina, M.D.
• Dignity Hospice and Healthcare LLC
• Divine Healing Healthcare & Durable Medical Equipment LLC
• Divine Private Home Care Provider
• Divine Source Healthcare Systems, Inc
• Barry R Dix, M.S.
• Fredrico Albert Dixon III, DDS
• DME of Georgia, Inc
• DME Supply Inc
• Dourron Women's Specialist

• Phlebotomy Technician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Phlebotomy Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.