Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Damitchell Detavious Montez Moore, NCPT

Individual provider Phlebotomy Technician · NPI 1568212884

Damitchell Detavious Montez Moore, NCPT is a Phlebotomy Technician in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2024.

Licensed in
SC
In the registry since
2024

Practice location Address checks out

136-4 Forum Dr #234
Columbia, SC 29229
Phone: (839) 234-0175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X (SC)

Record details

NPI number1568212884
Entity typeIndividual (Type 1)
GenderMale
Credentials NCPT
Sole proprietorNo
NPI enumeratedMarch 27, 2024
Last updated in NPPESMarch 31, 2024
Certification dateMarch 31, 2024

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