Sculpted Body Medspa LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

SCULPTED BODY MEDSPA LLC

Practice address

3501 Blue Bonnet Cir Ste C
Fort Worth, TX 76109-2996

Phone

(817) 528-7006

NPI assigned

Jul 16, 2025

Organization subpart

No

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

Authorized official

Name

Karissa Blevins

Title

Owner

Phone

(817) 528-7006

Specialties & licenses 1

Addresses

Other names 1

• DFW Labs Other name

Locations

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1750273611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 BLUE BONNET CIR STE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761092996",
            "telephone_number": "817-528-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 BLUE BONNET CIR STE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761092996",
            "telephone_number": "817-528-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCULPTED BODY MEDSPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-528-7006"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFW Labs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Victor Mark Scott, D.D.S.
• Jacob Scribner, DO
• Suleyka Macias Scribner
• William B. Scroggie, M.D.
• Thomas Andrew Scully, DO
• SD Meadowbrook PLLC
• SDM ASC LLC
• Charles Richard Seaberg Jr., LCDC
• Candace Seagraves, O.D.
• Andrea Christine Seal, LCDC-I

• Phlebotomy Technician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Phlebotomy Technician in Texas

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