Individual provider · Type 1 NPI

Tomieko Threadgill, PHLEBO, MA, CMLA

Phlebotomy Technician · Gulfport, MS

NPI number 1972120525 Active

Practice location

549 E Pass Rd Ste J
Gulfport, MS 39507-3261

Fax (228) 284-5724

Specialties and licenses

TaxonomyCodeLicense
Technician 374700000X279306 (MS)
Phlebotomy Technician Primary 246RP1900X279306 (MS)
Clinical Medical Laboratory 291U00000X25D2232943 (MS)
Medical Laboratory Technician 246RM2200X279306 (MS)
Clinical Laboratory Director (Non-physician) 247ZC0005X25D2232943 (MS)

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About NPI 1972120525

Tomieko Threadgill, PHLEBO, MA, CMLA's National Provider Identifier is 1972120525, issued on Jun 30, 2020. The primary taxonomy on file is Phlebotomy Technician (246RP1900X), and the practice location is in Gulfport, MS. The record was last updated on Jul 22, 2024.