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Jarvara White

Technician, Pathology - Phlebotomy β€’ Grosse Pointe, MI

Active NPI 1982153565 Individual Practitioner Female Practitioner
Practice location in NPPES

17410 Mack Ave # 1045
Grosse Pointe, MI 482306228

Call 3134435919 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

17410 Mack Ave # 1045

Grosse Pointe, MI 482306228

Telephone 3134435919

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grosse Pointe and Michigan

2 active clinicians are listed under Technician, Pathology - Phlebotomy with a practice address in Grosse Pointe, MI (70 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-27
Technician, Pathology - Phlebotomy Primary Specialty

NUCC Taxonomy Code: 246RP1900X

Assisted Living Facility

NUCC Taxonomy Code: 310400000X

License # reported to NPPES MI AS820380700

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Specialist/Technologist, Pathology - Laboratory Management

NUCC Taxonomy Code: 246QL0900X

Technician, Pathology - Medical Laboratory

NUCC Taxonomy Code: 246RM2200X

Point of Service

NUCC Taxonomy Code: 305S00000X

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Specialist

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Technician, Pathology - Clinical Laboratory Director, Non-physician

NUCC Taxonomy Code: 247ZC0005X

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location October 27, 2025

Registered at 17410 MACK AVE # 1045, GROSSE POINTE, MI 482306228 (Tel: 3134435919)

πŸ“
Updated Business Mailing Address October 27, 2025

Registered at 15564 LINCOLN AVE, EASTPOINTE, MI 480212918 (Tel: 3134435919)

βœ…
NPI Profile Active January 13, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 13, 2017

Registered at 13118 WILSHIRE DR, DETROIT, MI 482131988 (Tel: 3132120045)

πŸ“
Updated Business Mailing Address January 13, 2017

Registered at 13118 WILSHIRE DR, DETROIT, MI 482131988 (Tel: 3132120045)

πŸ‘€
Provider Name / Credentials Updated January 13, 2017

Recorded as JARVARA WHITE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2017

Assisted Living Facility (license number reported to NPPES: MI AS820380700)

βœ…
NPI Profile Active September 23, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 23, 2016

Registered at 13118 WILSHIRE DR, DETROIT, MI 482131988 (Tel: 3132120045)

πŸ“
Business Mailing Address (Initial Record) September 23, 2016

Registered at 13118 WILSHIRE DR, DETROIT, MI 482131988 (Tel: 3132120045)

πŸ‘€
Provider Name / Credentials (Initial Record) September 23, 2016

Recorded as JARVARA WHITE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2016

Assisted Living Facility (license number reported to NPPES: MI AS820380700)

🟒
Initial NPI Registration & Enumeration September 23, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982153565
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2016
Last Update: October 27, 2025
Sole Proprietor: Yes

Mailing Address

15564 Lincoln Ave

Eastpointe, MI 480212918

Phone: 3134435919

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.