Bludborn Labs LLC

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

Legal business name

BLUDBORN LABS LLC

Practice address

258 W Walnut St
Jesup, GA 31545-1331

Phone

(912) 202-6179

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Angela Darden-Rivers, CPTNPI 1427743194

Title

Ceo

Phone

(912) 202-6179

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Darden Darden-Rivers, CPT

  • Phlebotomy Technician
  • Jesup, GA
  • NPI 1427743194

  Phlebotomy

  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1942995618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 W WALNUT ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451331",
            "telephone_number": "912-202-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 W WALNUT ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451331",
            "telephone_number": "912-202-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUDBORN LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-08",
        "status": "A",
        "authorized_official_last_name": "DARDEN-RIVERS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-202-6179",
        "authorized_official_credential": "CPT"
    },
    "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": []
}

• Allison Brynn Bennett
• Tammy D Bibens, RBT
• Bill McArthur MD Inc
• McKenzy Paige Bishop, DPT
• Miki Blanton, RBT
• Bodnar Chiropractic Center Inc
• Anna Marie Bodnar, DC
• Bone and Joint Institute of South Georgia, P.C.
• Lindsey D Bookhardt, P.A.
• Amelia Sheehan Bostwick, M.D.

• All providers in Jesup, GA
• Medical Laboratory Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.