Marbie Downen, MT
Individual provider Active NPI Medical Technologist · Olney, IL
NPI 1093070880 · NPPES record last updated Jul 9, 2012
Key facts
- NPI
- 1093070880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Technologist 246QM0706X
- License
- 143106 (IL)
- Practice address
- 801 S West St
Executive Center Suite 123
Olney, IL 62450-1334 - Phone
- (812) 887-3946
- Fax
- (866) 501-9318
- NPI assigned
- Jul 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143106 | IL | MD | Medical Laboratory Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeance Corp | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 143106 | IL | Yes |
| Medical Laboratory Technician | 246RM2200X | 143106 | IL | |
| Phlebotomy Technician | 246RP1900X | 143106 | IL | |
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | 143106 | IL |
Addresses
Primary practice location
801 S West St
Executive Center Suite 123
Olney, IL 62450-1334
Mailing address
801 S West St
Executive Center Suite 123
Olney, IL 62450-1334
Phone (812) 887-3946
Other providers in Olney, IL
- Lydia Dickey
- Dishong Chiropractic Clinic PC
- Jerald O Dishong
- Don Edward Abel DDS PC
- Donita Schrey PLLC
- Dr Daniel J Brown, LTD
- Micah B Drummond
- Megan Eagleson
- East Fork Emergency Physicians LLC
- East Richland CSD 1
All providers in Olney, IL · Medical Technologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.