Active NPIIndividual providerSole proprietor

Rashaya T Ellis, PHLEBOTOMIST

Technician, Pathology, Phlebotomy in Bridgeport, Connecticut

NPI Number1184345464
Practice location
94B Stone Ridge RD, Bridgeport, CT 06606-2577
Fax
—
Last updated
April 10, 2024

Rashaya Tiara Ellis is a Technician, Pathology, Phlebotomy based in Bridgeport, CT. Rashaya Tiara Ellis practices in Bridgeport, CT and has the professional credentials of PHLEBOTOMIST. The NPI Number for Rashaya Tiara Ellis is 1184345464 and holds a License No. p4HG2D4 (CT). The current practice location address for Rashaya Tiara Ellis is 94B Stone Ridge RD, Bridgeport, CT 06606-2577 and can be reached out via phone at 203-583-5096.

Provider Profile Details

NPI Number
1184345464
Provider Name
Rashaya Tiara Ellis
Credential
PHLEBOTOMIST
Provider Entity Type
Individual
Gender
Female
Address
94B Stone Ridge RD, Bridgeport, CT 06606-2577
Phone Number
203-583-5096
Primary Taxonomy
Technician, Pathology, Phlebotomy · 246RP1900X
Sole Proprietor
Yes
Provider Enumeration Date
September 6, 2022
Last Update Date
April 10, 2024
Certification Date
April 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
94B Stone Ridge RD
Bridgeport, CT 06606-2577
Zip
06606-2577
Phone Number
203-583-5096
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
94B Stone Ridge RD
Bridgeport, CT 06606-2577
City
Bridgeport
State
CT
Zip
06606-2577
Phone Number
203-993-3650

License Information

License Number
p4HG2D4
License State
CT
Taxonomy
Technician, Pathology, Phlebotomy · 246RP1900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rashaya T Ellis, PHLEBOTOMIST?

The NPI number of Rashaya T Ellis, PHLEBOTOMIST is 1184345464. It was assigned on September 6, 2022 and is currently active in the NPPES registry.

What is the specialty of Rashaya T Ellis, PHLEBOTOMIST?

Rashaya T Ellis, PHLEBOTOMIST is registered under the primary taxonomy Technician, Pathology, Phlebotomy (code 246RP1900X), licensed in CT under license number p4HG2D4.

Where does Rashaya T Ellis, PHLEBOTOMIST practice?

The practice location is 94B Stone Ridge RD, Bridgeport, CT 06606-2577. The office can be reached at 203-583-5096 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184345464 directly on the NPPES registry website.

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