Crystal Thompson

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

E2P2B4J4 Issued in VA

Practice address

5003 Fern Dr
Diberville, MS 39540-6530

Phone

(757) 749-6117

NPI assigned

Jan 11, 2023

Last updated

Jul 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• On the Road Labs, LLC

  • Phlebotomy Technician
  • Gulfport, MS
  • NPI 1154035491
  NPD Authorized official

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1679287999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073236",
            "telephone_number": "757-726-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 FERN DR",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395406530",
            "telephone_number": "757-749-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "VA",
            "license": "E2P2B4J4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dianna Michelle Thomas, NP-C
• Melissa Tindol, RN
• Kaela Tong, FNP
• Milton Eduardo Torres Caban, DMD
• Total Renal Care Inc (Gulf Islands Home Training)
• Christina Tran

• Phlebotomy Technician in D'Iberville, MS
• Providers in D'Iberville, MS by specialty
• Phlebotomy Technician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.