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

Samantha Renee Mullins

Individual provider Technician/Technologist · NPI 1790496065

Samantha Renee Mullins is a Technician/Technologist in Dearborn, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

19853 W Outer Dr Ste 110
Dearborn, MI 48124
Phone: (313) 406-5056
Show map & directions

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

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X

Record details

NPI number1790496065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 7, 2022
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022

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