Idesta Ralph
Technician, Pathology - Phlebotomy • Tyrone, GA
Professional Overview & Biography Verified Profile Summary
Idesta Ralph is a registered healthcare professional specializing in Technician, Pathology - Phlebotomy in Tyrone, GA. Practice services are available at 1015 TYRONE RD # 410-C under active NPI credentials.
Practice Location & Contact Primary Location
1015 Tyrone Rd # 410-C
Tyrone, GA 302902407
Specialty Benchmarks & Practice Insights
Comparative analytics for Technician, Pathology - Phlebotomy in Tyrone, GA
Practicing in Tyrone, GA (261 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-06-10NUCC Taxonomy Code: 246RP1900X
Definition to come...
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1015 TYRONE RD # 410-C, TYRONE, GA 302902407 (Tel: 4708182264)
Registered at 5530 OLD NATIONAL HWY BLDG 5530-B2, COLLEGE PARK, GA 303493356 (Tel: 4708182264)
Registered at 5530 OLD NATIONAL HWY BLDG 5530-B2, COLLEGE PARK, GA 303496234 (Tel: 4708182264)
Technician, Pathology (License #56083 in NY)
Registered at 4827 OLD NATIONAL HWY UNIT 2032, COLLEGE PARK, GA 303376234 (Tel: 2398957910)
Registered at 4827 OLD NATIONAL HWY UNIT 2032, COLLEGE PARK, GA 303376234 (Tel: 2398957910)
Recorded as IDESTA RALPH
NPI status registered as active in NPPES database
Registered at 1846 NE 23RD ST, CAPE CORAL, FL 339094673 (Tel: 2392973236)
Registered at 1846 NE 23RD ST, CAPE CORAL, FL 339094673 (Tel: 2392973236)
Recorded as IDESTA RALPH, PHLEBOTOMY TECHNOLOG
Technician, Pathology (License #0326943231 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5530 Old National Hwy Bldg 5530-B2
College Park, GA 303496234
Phone: 4708182264
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