Organization Active NPI

Prettysticks Mobile Phlebotomy Concierge

  • Medical Laboratory Technician
  • Atlanta, GA
National Provider Identifier
1902645260
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Laboratory TechnicianTaxonomy code 246RM2200X
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

Updated by the provider on May 24, 2024

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)CodeLicenseStatePrimary
Medical Laboratory TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RM2200X Primary
Phlebotomy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.