Healthcare Provider Details

I. General information

NPI: 1386507440
Provider Name (Legal Business Name): LATOSHA COLLETTE JONES RMA, RPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 S 3RD ST STE 200
COLUMBUS OH
43215-5194
US

IV. Provider business mailing address

1814 BIDE A WEE PARK AVE
COLUMBUS OH
43205-3039
US

V. Phone/Fax

Practice location:
  • Phone: 614-382-6099
  • Fax: 614-382-6105
Mailing address:
  • Phone: 614-369-2541
  • Fax: 614-369-2541

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: