Cheryl Mosley, MLT

Individual provider Active NPI Medical Laboratory Technician · Saxe, VA

NPI 1982179925 · NPPES record last updated Oct 5, 2018

Key facts

NPI
1982179925
Entity type
Individual (NPI type 1)
Primary specialty
Medical Laboratory Technician 246RM2200X
License
2655603 (VA)
Practice address
2615 Hermon Rd
Saxe, VA 23967-5718
Phone
(434) 446-2693
NPI assigned
Oct 5, 2018
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

State licenses

LicenseStateTypeSpecialty
2655603VAMDMedical Laboratory Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Laboratory Technician 246RM2200X 2655603 VA Yes

Addresses

Primary practice location

2615 Hermon Rd
Saxe, VA 23967-5718

Mailing address

2615 Hermon Rd
Saxe, VA 23967-5718

Other providers in Saxe, VA

All providers in Saxe, VA · Medical Laboratory Technician in Virginia

Sources for this page

Verify at the official NPI Registry.