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NPI · 1063185015 · NPPES-sourced

Idesta Medical INC

ActivePhlebotomy Technician
NPI Number
1063185015
Type 2 · Organisation
Taxonomy Code
246RP1900X
Contact
(239) 895-7910
Primary practice line
Last Updated
Enumerated
Primary practice addressGA · 30337-6234
4827 Old National Hwy Unit 2032College Park, GA 30337-6234
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About this NPIWhat this record shows.

NPI 1063185015 is registered to Idesta Medical INC, a healthcare organisation classified as "Phlebotomy Technician" and located at 4827 Old National Hwy Unit 2032 in College Park, Georgia. The organisation's authorised official is Idesta Ralph. The organisation has been enumerated in the NPI registry since 2021.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Idesta Medical INC accepts. To confirm in-network status with your specific health plan, contact Idesta Medical INC directly at (239) 895-7910.

Frequently asked

Yes. NPI 1063185015 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Phlebotomy Technician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (239) 895-7910.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Idesta Medical INC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy246RP1900X
Last updated
Enumerated
StatusActive
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