NPI Code Detail JSON Logo

1780494716 NPI number — NAOMI CHINEYE RENFROE HT(ASCP) CM, CPT

NPI Number: 1780494716
Health Care Provider/Practitioner: NAOMI CHINEYE RENFROE HT(ASCP) CM, CPT

Information about “1780494716” NPI (NAOMI CHINEYE RENFROE HT(ASCP) CM, CPT) exists in 1780494716 in HTML format HTML  |  1780494716 in plain Text format TXT  |  1780494716 in PDF (Portable Document Format) PDF  |  1780494716 in an XML format XML  formats.

NPI Number : 1780494716 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780494716",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RENFROE",
    "FirstName": "NAOMI",
    "MiddleName": "CHINEYE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "HT(ASCP) CM, CPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "168 N JOHNSTON ST STE 300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30132-4741",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "877-822-2349",
    "MailingAddressFaxNumber": "877-341-4313",
    "FirstLinePracticeLocationAddress": "168 N JOHNSTON ST STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30132-4741",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "877-822-2349",
    "PracticeLocationAddressFaxNumber": "877-341-4313",
    "EnumerationDate": "01/11/2025",
    "LastUpdateDate": "11/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "246RM2200X",
          "TaxonomyName": "Medical Laboratory Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "246RP1900X",
          "TaxonomyName": "Phlebotomy Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "291U00000X",
          "TaxonomyName": "Clinical Medical Laboratory",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "246QH0600X",
          "TaxonomyName": "Histology Specialist/Technologist",
          "LicenseNumber": "26708",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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