Individual provider Active NPI

Katina Carter

  • Clinical Medical Laboratory
  • Philadelphia, PA
National Provider Identifier
1841660149
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
3787627 Issued in PA
Practice address
7018 Saybrook Ave
Philadelphia, PA 19142-1124
Phone
(215) 847-7711
Fax
(267) 403-2377
NPI assigned
Sep 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 3787627 PA Primary

Addresses

Primary practice location

7018 Saybrook Ave
Philadelphia, PA 19142-1124

Mailing address

7018 Saybrook Ave
Philadelphia, PA 19142-1124
Phone (215) 847-7711

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
3787627PAMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual Preventive Care Service Current Accepting new patients
Virtual Preventive Care Service Current Accepting new patients
On the Go Mobile Phlebotomy Service Inc. Clinical Medical Laboratory Current Accepting new patients

Organizations & group practices 3

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": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1841660149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7018 SAYBROOK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191421124",
            "telephone_number": "215-847-7711",
            "fax_number": "267-403-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7018 SAYBROOK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191421124",
            "telephone_number": "215-847-7711",
            "fax_number": "267-403-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KATINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "3787627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.