Cris Antao Digamo, LAB TECHNICIAN

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

20-0217R Issued in MD

Practice address

14422 Cool Oak LN
Centreville, VA 20121-2235

Phone

(202) 247-1812

Fax

(800) 887-9017

NPI assigned

Mar 24, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1851041727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14422 COOL OAK LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212235",
            "telephone_number": "202-247-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14422 COOL OAK LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212235",
            "telephone_number": "202-247-1812",
            "fax_number": "800-887-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGAMO",
        "first_name": "CRIS",
        "middle_name": "ANTAO",
        "credential": "LAB TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MD",
            "license": "20-0217R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cris@statlabtest.com",
            "affiliation": "N",
            "endpointDescription": "corporate email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "14422 Cool Oak Ln",
            "city": "Centreville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201212235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shriyam Dhakal, LCSW
• Melissa Anne Dhas, NP
• Diana O'Brien, LCSW. Med, LLC
• Seyed Omid Dianat
• Justin Dickover, DC
• Margaret Mary Divincenzo, M.S.
• Divine Touch Home Health
• DMV Counseling Consulting & Coaching
• Brittany Danielle Dodson, IBCLC
• Melba N/a Dogbe-Folly, CMHC

• Phlebotomy Technician in Centreville, VA
• Providers in Centreville, VA by specialty
• Phlebotomy Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.