Gifted Hands Premium Mobile Lab Services

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

Legal business name

GIFTED HANDS PREMIUM MOBILE LAB SERVICES

Practice address

300 Hammock LN
Raeford, NC 28376-2738

Phone

(910) 613-0787

Fax

(910) 613-0379

NPI assigned

Apr 10, 2024

Last updated

Apr 10, 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

Detoria WhitneyNPI 1730860081

Title

Executive Director

Phone

(910) 613-0378

Specialties & licenses 3

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.

• Detoria Whitney, NPT

  • Phlebotomy Technician
  • Raeford, NC
  • NPI 1730860081
  NPD Authorized official

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1730932690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HAMMOCK LN",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HAMMOCK LN",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762738",
            "telephone_number": "910-613-0787",
            "fax_number": "910-613-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED HANDS PREMIUM MOBILE LAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "DETORIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-613-0378"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Gaweda, FNP-C
• Conor Gessell, DDS
• Krystal Jane Ghirardi, BCBA
• Leeanna Danielle Gibbs, LMBT
• Stephanie Giesler, PTA
• Global Dynamic Group Inc
• Go Ez Transportation LLC
• Jonathon Seth Godwin, MSW
• Casey Gonzalez, MS
• Good Deeds (Shanicha)

• Medical Laboratory Technician in Raeford, NC
• Providers in Raeford, NC by specialty
• Medical Laboratory Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.