Active NPI
Prettysticks Mobile Phlebotomy Concierge
- Medical Laboratory Technician
- Atlanta, GA
National Provider Identifier
1902645260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Laboratory Technician
- Legal business name
- PRETTYSTICKS MOBILE PHLEBOTOMY CONCIERGE
- Doing business as
- Prettysticks Diagnostics & Training Center
- Practice address
- 8735 Dunwoody PL # 5992
Atlanta, GA 30350-2995 - Phone
- (757) 679-7134
- Fax
- (770) 809-5077
- NPI assigned
- May 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ketra Parson, NCPT, CPI
- Title
- Ceo/Program Director
- Phone
- (757) 679-7134
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Laboratory Technician | 246RM2200X | Primary | ||
| Phlebotomy Technician | 246RP1900X |
Addresses
Primary practice location
8735 Dunwoody PL # 5992
Atlanta, GA 30350-2995
Mailing address
501 Harvick Cir
Stockbridge, GA 30281-4457
Phone (757) 679-7134
Other names 1
- Prettysticks Diagnostics & Training Center
National Provider Directory
National Provider DirectoryLocations
8735 Dunwoody Pl
#5992
Sandy Springs, GA 30350
Phone (757) 679-7134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716508800000",
"number": "1902645260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 HARVICK CIR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302814457",
"telephone_number": "757-679-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8735 DUNWOODY PL # 5992",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303502995",
"telephone_number": "757-679-7134",
"fax_number": "770-809-5077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRETTYSTICKS MOBILE PHLEBOTOMY CONCIERGE",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-24",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A",
"authorized_official_last_name": "PARSON",
"authorized_official_first_name": "KETRA",
"authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
"authorized_official_telephone_number": "757-679-7134",
"authorized_official_credential": "NCPT, CPI"
},
"taxonomies": [
{
"code": "246RM2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Pathology, Medical Laboratory",
"state": null,
"license": null,
"primary": true
},
{
"code": "246RP1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prettysticks Diagnostics & Training Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.