Healthcare Provider Details

I. General information

NPI: 1871420463
Provider Name (Legal Business Name): DORICE ROBINSON PHLEBOTOMIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N 3RD ST # 1090
SMITHFIELD NC
27577-3939
US

IV. Provider business mailing address

178 CARISSA DR
SMITHFIELD NC
27577-9582
US

V. Phone/Fax

Practice location:
  • Phone: 743-837-0085
  • Fax:
Mailing address:
  • Phone: 743-837-0085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: