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

Mondrakus Harper

Individual provider Phlebotomy Technician · NPI 1194426767

Mondrakus Harper is a Phlebotomy Technician in Black Jack, Missouri. Practices as a sole proprietor. Licensed in Kentucky and Missouri.

Licensed in
KY, MO
In the registry since
2023
Specialties on file
2

Practice location Address checks out

12565 Evening Shade Dr
Black Jack, MO 63033-8513
Phone: (314) 583-1477
Fax: (314) 216-3926
Show map & directions

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

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X · Licence B6P44F8Q3 (KY)
Nurse's Aide Taxonomy 376K00000X · Licence 134849 (MO)

Record details

NPI number1194426767
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 13, 2023
Last updated in NPPESMarch 13, 2023
Certification dateMarch 11, 2023
Mailing address12565 Evening Shade Dr, Black Jack, MO 63033-8513