Healthcare Provider Details

I. General information

NPI: 1841103447
Provider Name (Legal Business Name): MICAH EVE ROMERO CPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3755 OCOEE PL NW APT 17
CLEVELAND TN
37312-5646
US

IV. Provider business mailing address

3755 OCOEE PL NW APT 17
CLEVELAND TN
37312-5646
US

V. Phone/Fax

Practice location:
  • Phone: 385-400-7668
  • Fax:
Mailing address:
  • Phone: 385-400-7668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberL6X6P3H7
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: