Organization Active NPI

Essential Life Diagnostics

  • Phlebotomy Technician
  • Huber Heights, OH
National Provider Identifier
1669319497
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
ESSENTIAL LIFE DIAGNOSTICS
Practice address
7049 Taylorsville Rd Ste D2
Huber Heights, OH 45424-3190
Phone
(937) 251-6446
Fax
(877) 552-1617
NPI assigned
Apr 30, 2026
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Miss Willena McCallum, MCCALLUMNPI 1700644028
Title
Owner/CPT
Phone
(937) 251-6446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

7049 Taylorsville Rd Ste D2
Huber Heights, OH 45424-3190

Mailing address

711 Cleverly Rd
Dayton, OH 45417-1210
Phone (937) 301-9356

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2311715Essential Life Diagnostics7049 Taylorsville Road Suite D2, Huber Heights, OH 45424Certificate of waiverSep 26, 2026

National Provider Directory

National Provider Directory

Locations

7049 Taylorsville Rd
Ste D2
Huber Heights, OH 45424
Phone (937) 251-6446

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1669319497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CLEVERLY RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454171210",
            "telephone_number": "937-301-9356",
            "fax_number": "877-552-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7049 TAYLORSVILLE RD STE D2",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454243190",
            "telephone_number": "937-251-6446",
            "fax_number": "877-552-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL LIFE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "MCCALLUM",
        "authorized_official_first_name": "WILLENA",
        "authorized_official_title_or_position": "OWNER/CPT",
        "authorized_official_telephone_number": "937-251-6446",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MCCALLUM"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.