MONDRAKUS HARPER
NPI 1194426767
Technician, Pathology - Phlebotomy in Black Jack, MO

Q: What is Mondrakus Harper's NPI number?

The NPI number for Mondrakus Harper is 1194426767. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Q: What is Mondrakus Harper's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

Q: When was this NPI record last updated?

The NPPES record for Mondrakus Harper was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 13, 2023

12565 EVENING SHADE DR, BLACK JACK, MO 63033(314) 583-1477(314) 216-3926 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mondrakus Harper NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONDRAKUS HARPER (NPI 1194426767) is an individual phlebotomy provider in Black Jack, Missouri, licensed in Kentucky (B6P44F8Q3) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1194426767

Entity TypeIndividualMale

Primary Taxonomy246RP1900X

Provider Legal NameMONDRAKUS HARPER

Location Address12565 EVENING SHADE DRBlack Jack, MO 63033-8513

Mailing Address12565 Evening Shade DrBlack Jack, MO 63033-8513 · (314) 583-1477 · Fax (314) 216-3926

Phone(314) 583-1477

Fax(314) 216-3926

Sole ProprietorYes

Enumeration DateMarch 13, 2023

NPPES CertifiedMarch 11, 2023

✔ NPI 1194426767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246RP1900X

License✔ Licensed in KY · B6P44F8Q3

Also ListedNurse's AideTaxonomy 376K00000X · License 134849 (MO)

12565 EVENING SHADE DR, Black Jack, MO 63033

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEVEL UP MOBILE PHLEBOTOMY LLC

Home Health

12565 EVENING SHADE DR
BLACK JACK, MO 63033

St. Louis County (314) 583-1477

Frequently 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 Mondrakus Harper's NPI number?

The NPI number for Mondrakus Harper is 1194426767. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Mondrakus Harper located?

Mondrakus Harper practices at 12565 Evening Shade Dr, Black Jack, MO 63033. The listed phone number is (314) 583-1477.

What is Mondrakus Harper's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

When was this NPI record last updated?

The NPPES record for Mondrakus Harper was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.