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

MS. Roberta Johnson

Individual provider Phlebotomy Technician · NPI 1366109845

MS. Roberta Johnson is a Phlebotomy Technician in Centreville, Illinois. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1624 Boismenue Ave
Centreville, IL 62207-2131
Phone: (618) 698-3308
Show map & directions

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

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X

Record details

NPI number1366109845
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 19, 2021
Last updated in NPPESNovember 19, 2021
Certification dateNovember 19, 2021
Mailing address1624 Boismenue Ave, Centreville, IL 62207-2131