1285516591 NPI number — BUFFY SHINA PAULDING CERTIFIED PHLEBOTOMI

Table of content: BUFFY SHINA PAULDING CERTIFIED PHLEBOTOMI (NPI 1285516591)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285516591 NPI number — BUFFY SHINA PAULDING CERTIFIED PHLEBOTOMI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PAULDING
Provider First Name:
BUFFY
Provider Middle Name:
SHINA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CERTIFIED PHLEBOTOMI
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PAULDING
Provider Other First Name:
SHINA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHLEBOTOMIST
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1285516591
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/25/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
625 PINEYWOOD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GARDENDALE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35071-2935
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-585-0323
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
625 PINEYWOOD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GARDENDALE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35071-2935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-585-0323
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X , with the licence number:  247047 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com