MS. ROBERTA JOHNSON
NPI 1366109845
Technician, Pathology - Phlebotomy in Centreville, IL
- Individual
- Female
- Technician, Pathology
- Phlebotomy
About ROBERTA JOHNSON
This page provides the complete NPI Profile along with additional information for Roberta Johnson, a provider established in Centreville, Illinois with a medical specialization in Technician, Pathology, focusing in phlebotomy . The healthcare provider is registered in the NPI registry with number 1366109845 assigned on November 2021. The practitioner's primary taxonomy code is 246RP1900X. The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1366109845 Verify this NPI
- Provider Name
- MS. ROBERTA JOHNSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1624 BOISMENUE AVE CENTREVILLE, IL 62207
- Location Phone
- (618) 698-3308
- Mailing Address
- 1624 BOISMENUE AVE CENTREVILLE, IL 62207
- Mailing Phone
- (618) 698-3308
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-19-2021
- Last Update Date
- 11-19-2021
- 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
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366109845, enumerated as an "individual" on November 19, 2021.
The provider is located at 1624 BOISMENUE AVE CENTREVILLE, IL 62207 and the phone number is (618) 698-3308.
Technician, Pathology with taxonomy code 246RP1900X and a focus in Phlebotomy.
