Healthcare Provider Details

I. General information

NPI: 1326890120
Provider Name (Legal Business Name): NATASHA LATOYA TORRES PHLEBOTOMIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2024
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2832 RANDLEMAN RD STE H-3
GREENSBORO NC
27406-5193
US

IV. Provider business mailing address

2832 RANDLEMAN RD STE H-3
GREENSBORO NC
27406-5193
US

V. Phone/Fax

Practice location:
  • Phone: 336-929-8134
  • Fax: 877-552-1628
Mailing address:
  • Phone: 336-929-8134
  • Fax: 877-552-1628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: