MRS. CHERRON LAKISHA BLAKELY MT CLS NPI 1073630059

NPI Information

NPI: 1073630059
Provider Name: MRS. CHERRON LAKISHA BLAKELY, MT, CLS
Classification: Specialist/Technologist, Pathology - 246QM0706X
Entity Type: Individual

Specialization: Medical Technologist

Address:
1826 VETERANS BLVD
BLDG 3A, PATHOLOGY AND LABORATORY MEDICINE
DUBLIN, GA
ZIP 31021
Phone: (478) 277-2750
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MRS. Cherron Lakisha Blakely, MT, CLS is a medical technologist specialist technologist pathology in Dublin, GA. MRS. Cherron Lakisha Blakely, MT, CLS NPI is 1073630059. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1826 VETERANS BLVD
BLDG 3A, PATHOLOGY AND LABORATORY MEDICINE
DUBLIN, GA
ZIP 31021-620
Phone: (478) 277-2750
Fax: (478) 277-2840

The enumeration date for this NPI number is 3/23/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246QM0706X	Specialist/Technologist, Pathology	Medical Technologist	219139	MARYLAND	Yes
2	246QM0706X	Specialist/Technologist, Pathology	Medical Technologist	9909695	MARYLAND	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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