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MS. ROBERTA JOHNSON
NPI 1366109845
Technician, Pathology - Phlebotomy in Centreville, IL

Active since November 19, 2021
1624 BOISMENUE AVE, CENTREVILLE, IL 62207(618) 698-3308 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Roberta Johnson NPPES

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

MS. ROBERTA JOHNSON (NPI 1366109845) is an individual phlebotomy provider in Centreville, Illinois and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1366109845
Entity TypeIndividualFemale
Primary Taxonomy246RP1900X
Provider Legal NameMS. ROBERTA JOHNSON
Location Address1624 BOISMENUE AVECentreville, IL 62207-2131
Mailing Address1624 Boismenue AveCentreville, IL 62207-2131 · (618) 698-3308
Phone(618) 698-3308
Sole ProprietorYes
Enumeration DateNovember 19, 2021
NPPES CertifiedNovember 19, 2021
✔ NPI 1366109845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
1624 BOISMENUE AVE, Centreville, IL 62207
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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 Roberta Johnson's NPI number?

The NPI number for Roberta Johnson is 1366109845. It was assigned to this individual provider in the NPPES registry on November 19, 2021.

Where is Roberta Johnson located?

Roberta Johnson practices at 1624 Boismenue Ave, Centreville, IL 62207. The listed phone number is (618) 698-3308.

What is Roberta Johnson'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 Roberta Johnson was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.