Roberta Johnson

Phlebotomy Technician · Centreville, IL

Individual Active NPI

NPI number 1366109845

Practice location

1624 Boismenue Ave
Centreville, IL 62207-2131
Phone
(618) 698-3308

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NPI record

NPI
1366109845
Entity type
Individual (Type 1)
Enumeration date
November 19, 2021
Last updated
November 19, 2021
Certified
November 19, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Phlebotomy Technician Primary 246RP1900X — —

About Roberta Johnson

Roberta Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Phlebotomy Technician (code 246RP1900X). The practice location is 1624 Boismenue Ave, Centreville, IL 62207-2131. The NPI number 1366109845 was assigned on November 19, 2021 and the record was last updated on November 19, 2021.

Frequently asked questions

What is the NPI number of Roberta Johnson?

The NPI number is 1366109845.

What is the phone number of Roberta Johnson?

The phone number listed for the practice location is (618) 698-3308.

Where is Roberta Johnson located?

1624 Boismenue Ave, Centreville, IL 62207-2131.

What is the taxonomy code for Roberta Johnson?

The primary taxonomy code is 246RP1900X – Phlebotomy Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.