India Adside
Individual provider Active NPI Medical Laboratory Technician · Macon, GA
NPI 1689328304 · NPPES record last updated Feb 10, 2022
Key facts
- NPI
- 1689328304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Laboratory Technician 246RM2200X
- Practice address
- 159 Steven Dr Apt 10204
Macon, GA 31210-5877 - Phone
- (478) 284-8229
- NPI assigned
- Feb 10, 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 |
|---|---|---|---|---|
| Medical Laboratory Technician | 246RM2200X | Yes |
Addresses
Primary practice location
159 Steven Dr Apt 10204
Macon, GA 31210-5877
Mailing address
159 Steven Dr Apt 10204
Macon, GA 31210-5877
Phone (478) 284-8229
Other providers in Macon, GA
- Adedoyin Olusola Ademiluyi
- Adebola Adekunle Adeogun
- James Michael Adkins
- Lauren Aaron Adkinson
- Leyikun Eshetu Admite
- Advance Wellness First
- Advanced Dental Arts, LLC
- Advanced Home Care, Inc
- Advanced Juvenile Enhancement, LLC
- Advocacy Resource Center, Inc - Macon
All providers in Macon, GA · Medical Laboratory Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 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.