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JACK OF ALL STIXX
NPI 1700611563
Technician, Pathology - Phlebotomy in Greensboro, NC

Active since September 03, 2024
2 CENTERVIEW DR STE 64, GREENSBORO, NC 27407(336) 303-0587 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Of All Stixx NPPES

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

JACK OF ALL STIXX (NPI 1700611563) is a healthcare organization registered as a phlebotomy in Greensboro, North Carolina and active in the NPI registry since September 2024. The organization lists Detavia Kenan, Owner, as its authorized official.

NPPES Registry Identity

NPI1700611563
Entity TypeOrganization
Primary Taxonomy246RP1900X
Legal Business NameJACK OF ALL STIXX
Location Address2 CENTERVIEW DR STE 64Greensboro, NC 27407-3708
Mailing Address555 Whistling Swan DrGreensboro, NC 27455-1535
Phone(336) 303-0587
Organization SubpartNo
Authorized OfficialDetavia KenanOwner · (336) 303-0587
Enumeration DateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1700611563 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
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
2 CENTERVIEW DR STE 64, Greensboro, NC 27407
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Other Providers at the Same Location NPPES 2

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

DETAVIA KENAN CMA
Technician, Pathology (Phlebotomy)
2 CENTERVIEW DR STE 64
GREENSBORO, NC 27407
Guilford County (336) 303-0587
GOOD LIFE ACTIVITY DEVELOPMENT CENTER
Clinic/Center (Adult Day Care)
2 CENTERVIEW DR STE 64
GREENSBORO, NC 27407
Guilford County (336) 383-8977

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 Jack Of All Stixx's NPI number?

The NPI number for Jack Of All Stixx is 1700611563. It was assigned to this organization in the NPPES registry on September 3, 2024.

Where is Jack Of All Stixx located?

Jack Of All Stixx is located at 2 Centerview Dr Ste 64, Greensboro, NC 27407. The listed phone number is (336) 303-0587.

What is Jack Of All Stixx'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 Jack Of All Stixx was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.