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Active NPI 1891511432 Individual Practitioner Male Practitioner

Kysen Dane Sue , CPT

Technician, Pathology - Phlebotomy • Lubbock, TX

Professional Overview & Biography Verified Profile Summary

Kysen Sue, CPT is a registered healthcare professional specializing in Technician, Pathology - Phlebotomy in Lubbock, TX. Practice services are available at 4617 50TH ST STE 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4617 50th St Ste 5

Lubbock, TX 794143507

Telephone 8065996299
Associated Practice Facility / Clinic
🏢 Med Pro Synergy, Llc Facility NPI 1780400325

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Pathology - Phlebotomy in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Lubbock, TX (323 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-27
Technician, Pathology - Phlebotomy Primary Specialty

NUCC Taxonomy Code: 246RP1900X

State License TX NPCN-17321-11162

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 27, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2024

Registered at 4617 50TH ST STE 5, LUBBOCK, TX 794143507 (Tel: 8065996299)

📍
Updated Business Mailing Address November 27, 2024

Registered at 5815 82ND ST, SUITE 145 / PMB 108, LUBBOCK, TX 79424 (Tel: 8065996299)

👤
Provider Name / Credentials Updated November 27, 2024

Recorded as KYSEN SUE, CPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2024

Technician, Pathology (License #NPCN-17321-11162 in TX)

🟢
Initial NPI Registration & Enumeration November 27, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891511432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2024
Last Update: November 27, 2024
Sole Proprietor: Yes

Mailing Address

5815 82nd St, Suite 145 / Pmb 108

Lubbock, TX 79424

Phone: 8065996299

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.