Archelius Gerber

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

11846-162-250-0676 Issued in MD

Practice address

7830 Hanover Pkwy Apt 102
Greenbelt, MD 20770-2601

Phone

(240) 667-6055

NPI assigned

Jan 17, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Arch Lab Mobile Phlebotomy

  • Clinical Medical Laboratory
  • Greenbelt, MD
  • NPI 1346933488
  NPD Authorized official

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1831804632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 HANOVER PKWY APT 102",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702601",
            "telephone_number": "240-667-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 HANOVER PKWY APT 102",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702601",
            "telephone_number": "240-667-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "ARCHELIUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MD",
            "license": "11846-162-250-0676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11846-162-250-0676",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Haymanot Tekia Gidey

• Phlebotomy Technician in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Phlebotomy Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.