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NPI 1659564979 · Pathology Specialist/Technologist · Phoenix, AZ
Provider details
- NPI number
- 1659564979
- Entity type
- Individual
- Primary specialty
- Pathology Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1511
Fax: (602) 263-1619
Mailing address
Po Box 31001-0698
Pasadena, CA 91110-0698
Registry dates
- Enumerated
- 2007-08-21
- Last updated
- 2007-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.