Quantacia Miner, PHLEBOTOMIST

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

45D2157852 Issued in TX

Practice address

613 Bridgewood Cir Apt 524
Fort Worth, TX 76112-1729

Phone

(817) 507-3102

Fax

(817) 507-3102

NPI assigned

Jan 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Quantacia Miner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrity Mobile Phlebotomy Services

  • Clinical Medical Laboratory
  • Fort Worth, TX
  • NPI 1578188439
  NPD Authorized official

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1982178000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 BRIDGEWOOD CIR APT 524",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761121729",
            "telephone_number": "817-507-3102",
            "fax_number": "817-507-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 BRIDGEWOOD CIR APT 524",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761121729",
            "telephone_number": "817-507-3102",
            "fax_number": "817-507-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "QUANTACIA",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "TX",
            "license": "45D2157852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QUANTACIA",
            "last_name": "MINER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Laboratory Director (Non-physician) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Laboratory Director (Non-physician) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.