Organization Active NPI

Purple Dreams Wellness LLC

  • Phlebotomy Technician
  • Baltimore, MD
National Provider Identifier
1992585947
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
PURPLE DREAMS WELLNESS LLC
Practice address
4709 Harford Rd # 107
Baltimore, MD 21214-3261
Phone
(410) 881-7044
NPI assigned
Oct 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Roberta Martin, NRCPT
Title
Ceo/Senior Phlebotomist
Phone
(443) 739-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

4709 Harford Rd # 107
Baltimore, MD 21214-3261

Mailing address

4709 Harford Rd # 107
Baltimore, MD 21214-3261
Phone (410) 881-7044

National Provider Directory

National Provider Directory

Locations

4709 Harford Rd
#107
Baltimore, MD 21214
Phone (410) 881-7044

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1992585947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 HARFORD RD # 107",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143261",
            "telephone_number": "410-881-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 HARFORD RD # 107",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143261",
            "telephone_number": "410-881-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE DREAMS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "CEO/SENIOR PHLEBOTOMIST",
        "authorized_official_telephone_number": "443-739-2225",
        "authorized_official_credential": "NRCPT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.