Jarvara White
Technician, Pathology, Phlebotomy in Grosse Pointe, MI. Individual provider (NPI-1).
NPI number1982153565
StatusActive
Last updated in NPPESOct 27, 2025
Details
- NPI
- 1982153565
- Entity type
- Individual (NPI-1)
- Name
- Jarvara White
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2016
- Certification date
- Oct 27, 2025
- Last updated
- Oct 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246RP1900X | Technician, Pathology, Phlebotomy | – | MI | Yes |
| 310400000X | Assisted Living Facility | AS820380700 | MI | |
| 246QL0900X | Spec/Tech, Pathology, Laboratory Management | – | MI | |
| 246RM2200X | Technician, Pathology, Medical Laboratory | – | MI | |
| 305S00000X | Point of Service | – | MI | |
| 174400000X | Specialist | – | MI | |
| 247ZC0005X | Pathology, Clinical Laboratory Director, Non-physician | – | MI |
Practice location
17410 Mack Ave # 1045Grosse Pointe, MI 48230-6228
Phone 313-443-5919
Mailing address
15564 Lincoln AveEastpointe, MI 48021-2918
Phone 313-443-5919
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