MONDRAKUS HARPER
NPI 1194426767
Technician, Pathology - Phlebotomy in Black Jack, MO
- Individual
- Male
- Technician, Pathology
- Phlebotomy
About MONDRAKUS HARPER
This page provides the complete NPI Profile along with additional information for Mondrakus Harper, a provider established in Black Jack, Missouri with a medical specialization in Technician, Pathology, focusing in phlebotomy . The healthcare provider is registered in the NPI registry with number 1194426767 assigned on March 2023. The practitioner's primary taxonomy code is 246RP1900X with license number B6P44F8Q3 (KY). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1194426767 Verify this NPI
- Provider Name
- MONDRAKUS HARPER
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12565 EVENING SHADE DR BLACK JACK, MO 63033
- Location Phone
- (314) 583-1477
- Location Fax
- (314) 216-3926
- Mailing Address
- 12565 EVENING SHADE DR BLACK JACK, MO 63033
- Mailing Phone
- (314) 583-1477
- Mailing Fax
- (314) 216-3926
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-13-2023
- Last Update Date
- 03-13-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Technician, Pathology Phlebotomy
- Taxonomy Code
- 246RP1900X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- B6P44F8Q3
- License State
- KY
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 376K00000X | Nursing Service Related Providers | Nurse's Aide | 134849 (MO) |
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194426767, enumerated as an "individual" on March 13, 2023.
The provider is located at 12565 EVENING SHADE DR BLACK JACK, MO 63033 and the phone number is (314) 583-1477.
Technician, Pathology with taxonomy code 246RP1900X and a focus in Phlebotomy.