PRAESIDIUM MEDICAL DIAGNOSTICS AND SCREENING – NPI #1154286284
Technician, Pathology

PRAESIDIUM MEDICAL DIAGNOSTICS AND SCREENING is a pathology technician located in EVERGREEN, AL. NPPES has assigned the NPI number 1154286284 to PRAESIDIUM MEDICAL DIAGNOSTICS AND SCREENING on December 20, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 246RP1900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Phlebotomy

The NPI profile was last updated on Dec 22, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRAESIDIUM MEDICAL DIAGNOSTICS AND SCREENING below.

NPI Profile for
PRAESIDIUM MEDICAL DIAGNOSTICS AND SCREENING

NPI Number
1154286284
Enumeration Date

(about 6 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRAESIDIUM MEDICAL DIAGNOSTICS AND SCREENING
Primary location
301 MAGNOLIA AVE
EVERGREEN, AL 36401-3115
Phone: (251) 227-9937 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLENE DORTCH
OWNER/CEO
Phone: (251) 227-9937
Updated
Certification Date
Dec 22, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246RP1900X
- Technician, Pathology / Phlebotomy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.