Skip to content
NPISignal

Individual Healthcare Provider

Diane Rodriguez, LICENSED PHLEBOTOMIS

NPI Record: ActiveTechnician, Pathology — Phlebotomy
NPI1861058638
Moriches, New York

Provider's NPPES record last updated: October 1, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1861058638
Primary Specialty
Technician, Pathology — Phlebotomy
Practice Location
Moriches, New York
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 8:09 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Technician, Pathology

    Phlebotomy

    Technologists, Technicians & Other Technical Service Providers

    Primary

    Definition to come...

    Taxonomy code 246RP1900X
  • Public Health or Welfare

    Agencies

    Definition to come...

    Taxonomy code 251K00000X
  • Technician, Pathology

    Medical Laboratory

    Technologists, Technicians & Other Technical Service Providers

    Definition to come...

    Taxonomy code 246RM2200X
  • Clinic/Center

    Occupational Medicine

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QX0100X
  • Home Health Aide

    Nursing Service Related Providers

    A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

    Taxonomy code 374U00000X
  • Technician

    Nursing Service Related Providers

    (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear.

    Taxonomy code 374700000X

Provider-Reported License Information

Technician (New York)
81F992
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

290 Mountauk Hwy.

Unit #286

Moriches, New York 11955

Phone: (631) 800-6441

Record Information

Enumeration Date
May 16, 2019
Provider's NPPES Record Last Updated
October 1, 2025
Certification Date
October 1, 2025
Deactivation Date
February 21, 2020
Reactivation Date
August 25, 2025
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue