PRAESIDIUM MEDICAL DIAGNOSTICS AND SCREENING
NPI 1154286284
Technician, Pathology - Phlebotomy in Evergreen, AL
About Praesidium Medical Diagnostics And Screening NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAESIDIUM MEDICAL DIAGNOSTICS AND SCREENING (NPI 1154286284) is a healthcare organization registered as a phlebotomy in Evergreen, Alabama and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Charlene Dortch, Owner/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 01D2330787
Praesidium Medical Diagnostics And Screening · Evergreen, ALFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Praesidium Medical Diagnostics And Screening's NPI number?
The NPI number for Praesidium Medical Diagnostics And Screening is 1154286284. It was assigned to this organization in the NPPES registry on December 20, 2025.
Where is Praesidium Medical Diagnostics And Screening located?
Praesidium Medical Diagnostics And Screening is located at 301 Magnolia Ave, Evergreen, AL 36401. The listed phone number is (251) 227-9937.
What is Praesidium Medical Diagnostics And Screening's specialty?
The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.
Does Praesidium Medical Diagnostics And Screening hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2330787) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Praesidium Medical Diagnostics And Screening was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Praesidium Medical Diagnostics And Screening · NPI 1154286284
Phlebotomy organization in Evergreen, Alabama. Organization record, active in the CMS NPPES registry since December 20, 2025.
## Identity
- **NPI:** 1154286284 (Entity type: Organization)
- **Enumerated:** December 20, 2025
- **Primary specialty:** Technician, Pathology - Phlebotomy · taxonomy 246RP1900X
- **Organization subpart:** No
- **Authorized official:** Charlene Dortch, OWNER/CEO
## Practice location
- **Address:** 301 MAGNOLIA AVE, Evergreen, AL 36401-3115
- **Phone:** (251) 227-9937
## Record status
- **NPPES last updated:** December 22, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154286284) · Data from the CMS NPPES public registry.