Healthcare Provider Details

I. General information

NPI: 1588639306
Provider Name (Legal Business Name): JOSHUA D ADAMS MLT/ HS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USCG HQ, COMDT (CG-1122) 2100 2ND STREET, RM 5314
WASHINGTON DC
20593-0001
US

IV. Provider business mailing address

8202 SOLANO BAY LOOP APT 324
TAMPA FL
33635-9557
US

V. Phone/Fax

Practice location:
  • Phone: 860-701-6999
  • Fax:
Mailing address:
  • Phone: 813-298-0406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: