Kristyn R Frazee, CPT

Individual provider Active NPI Phlebotomy Technician · Oak Grove, MO

NPI 1831886456 · NPPES record last updated Apr 24, 2023

Key facts

NPI
1831886456
Entity type
Individual (NPI type 1)
Primary specialty
Phlebotomy Technician 246RP1900X
License
46913-168-018-9101 (MO)
Practice address
1403 SE Hillside Dr Apt B
Oak Grove, MO 64075-9417
Phone
(816) 493-9436
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
46913-168-018-9101MOMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity One Mobile Labs LLC Current
since Apr 30, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 46913-168-018-9101 MO Yes

Addresses

Primary practice location

1403 SE Hillside Dr Apt B
Oak Grove, MO 64075-9417

Mailing address

1403 SE Hillside Dr Apt B
Oak Grove, MO 64075-9417
Phone (816) 493-9436

Other providers in Oak Grove, MO

All providers in Oak Grove, MO · Phlebotomy Technician in Missouri

Sources for this page

Verify at the official NPI Registry.