Healthcare Provider Details

I. General information

NPI: 1003508482
Provider Name (Legal Business Name): LEAH KATURA WASHINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 10/15/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 DIXMONT AVE
CINCINNATI OH
45207-1410
US

IV. Provider business mailing address

230 NORTHLAND BOULEVARD, SUITE 299 MAILBOX 115
SPRINGDALE OH
45246-1410
US

V. Phone/Fax

Practice location:
  • Phone: 513-413-9037
  • Fax:
Mailing address:
  • Phone: 833-528-8721
  • Fax: 833-528-8721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: