IndividualActive
Takia Nunnelly
NPI 1629914387 · Laboratory Management Specialist/Technologist · Saint Louis, MO
Provider details
- NPI number
- 1629914387
- Entity type
- Individual
- Primary specialty
- Laboratory Management Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5387696376TN (MO)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1927 S Compton Ave Apt 3
Saint Louis, MO 63104-1579
Phone: (314) 532-7975
Approximate (ZIP-level) locationGet directions
Mailing address
1927 S Compton Ave Apt 3
Saint Louis, MO 63104-1579
Registry dates
- Enumerated
- 2026-04-27
- Last updated
- 2026-04-27
- Certified
- 2026-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.