Provider Demographics
NPI:1992592489
Name:KEELS, LATARSHIA (PHLEBOTOMIST, ASCP)
Entity type:Individual
Prefix:
First Name:LATARSHIA
Middle Name:
Last Name:KEELS
Suffix:
Gender:
Credentials:PHLEBOTOMIST, ASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 TERRA DR APT C
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-2634
Mailing Address - Country:US
Mailing Address - Phone:910-703-3300
Mailing Address - Fax:
Practice Address - Street 1:8201 TERRA DR APT C
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-2634
Practice Address - Country:US
Practice Address - Phone:910-703-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
25648218246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy