Marshida Jeffery
Individual provider Active NPI Clinical Medical Laboratory · Moody, AL
NPI 1134845209 · NPPES record last updated Oct 19, 2022
Key facts
- NPI
- 1134845209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Practice address
- 2301 Moody Pkwy Ste 2
Moody, AL 35004-3015 - Phone
- (800) 211-7589
- Fax
- (866) 853-1382
- NPI assigned
- Oct 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
2301 Moody Pkwy Ste 2
Moody, AL 35004-3015
Mailing address
2301 Moody Pkwy Ste 2
Moody, AL 35004-3015
Phone (800) 211-7589
Other providers in Moody, AL
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- Vanessa Lynn Hughes
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- Lavonda Johnson
- Ann Kathleen Kaye-Taylor
- Wynne Bracewell Kolbie
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- Christopher Lee
All providers in Moody, AL · Clinical Medical Laboratory in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2022. 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.