Paula Rene Amaker, PBT

Individual provider Active NPI Medical Laboratory Technician · Upper Marlboro, MD

NPI 1497089320 · NPPES record last updated Sep 24, 2009

Key facts

NPI
1497089320
Entity type
Individual (NPI type 1)
Primary specialty
Medical Laboratory Technician 246RM2200X
License
070065 (MD)
Practice address
9672 Pennsylvania Ave
Upper Marlboro, MD 20772-3670
Phone
(301) 599-2030
Fax
(301) 599-2032
NPI assigned
Sep 24, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
070065MDMDMedical Laboratory Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Laboratory Technician 246RM2200X 070065 MD Yes
Phlebotomy Technician 246RP1900X 070065 MD

Addresses

Primary practice location

9672 Pennsylvania Ave
Upper Marlboro, MD 20772-3670

Mailing address

9672 Pennsylvania Ave
Upper Marlboro, MD 20772-3670
Phone (301) 599-2030

Other providers in Upper Marlboro, MD

All providers in Upper Marlboro, MD · Medical Laboratory Technician in Maryland

Sources for this page

Verify at the official NPI Registry.