Active NPI
Miranda Davis, NPA, CPT
- Phlebotomy Technician
- Clinton Township, MI
National Provider Identifier
1922490416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 42383 Garfield Rd Unit 381286
Clinton Township, MI 48038-7742 - Phone
- (844) 727-2011
- Fax
- (586) 421-4842
- NPI assigned
- Feb 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary | ||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
42383 Garfield Rd Unit 381286
Clinton Township, MI 48038-7742
Mailing address
42383 Garfield Rd Unit 381286
Clinton Township, MI 48038-0079
Phone (313) 903-8830
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1922490416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42383 GARFIELD RD UNIT 381286",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480380079",
"telephone_number": "313-903-8830",
"fax_number": "586-421-4842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42383 GARFIELD RD UNIT 381286",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480387742",
"telephone_number": "844-727-2011",
"fax_number": "586-421-4842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MIRANDA",
"credential": "NPA, CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-20",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.