Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mondrakus Harper

Individual provider Phlebotomy Technician · NPI 1194426767

Mondrakus Harper is a Phlebotomy Technician in Black Jack, Missouri. Practices as a sole proprietor. Licensed in Kentucky and Missouri.

Licensed in
KY, MO
In the registry since
2023
Specialties on file
2

Practice location Address checks out

12565 Evening Shade Dr
Black Jack, MO 63033-8513
Phone: (314) 583-1477
Fax: (314) 216-3926
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X · Licence B6P44F8Q3 (KY)
Nurse's Aide Taxonomy 376K00000X · Licence 134849 (MO)

Record details

NPI number1194426767
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 13, 2023
Last updated in NPPESMarch 13, 2023
Certification dateMarch 11, 2023