IndividualActive
Anthony Tanner, PA(ASCP)CM
NPI 1841020468 · Pathology Specialist/Technologist · Bossier City, LA
Provider details
- NPI number
- 1841020468
- Entity type
- Individual
- Primary specialty
- Pathology Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- PA(ASCP)CM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 000512 (NY)
Mailing address
607 Matador Ct
Bossier City, LA 71111-8232
Registry dates
- Enumerated
- 2024-08-07
- Last updated
- 2024-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.