Individual provider Active NPI

Savada Victoria Wellman

  • Phlebotomy Technician
  • Belcamp, MD
National Provider Identifier
1831933415
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
3314-10 Issued in MD
Practice address
4690 Millennium Dr FL 3
Belcamp, MD 21017-1523
Phone
(855) 400-3575
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 3314-10 MD Primary

Addresses

Primary practice location

4690 Millennium Dr FL 3
Belcamp, MD 21017-1523

Mailing address

4690 Millennium Dr FL 3
Belcamp, MD 21017-1523
Phone (855) 400-3575

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3314-10MDMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Labs Diagnostics, LLC Phlebotomy Current Accepting new patients

Locations

4690 Millennium Dr
Fl 3
Belcamp, MD 21017
Phone (240) 492-9277

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.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1831933415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 MILLENNIUM DR FL 3",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171523",
            "telephone_number": "855-400-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 MILLENNIUM DR FL 3",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171523",
            "telephone_number": "855-400-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "SAVADA",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MD",
            "license": "3314-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belcamp, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.