SHENELL MOORE RMA NPI 1215545363

NPI Information

NPI: 1215545363
Provider Name: SHENELL MOORE, RMA
Classification: Specialist/Technologist, Pathology - 246QM0706X
Entity Type: Individual

Specialization: Medical Technologist

Address:
225 GOSTLIN ST
HAMMOND, IN
ZIP 46327
Phone: (708) 953-2575
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Shenell Moore, RMA is a medical technologist specialist technologist pathology in Hammond, IN. Shenell Moore, RMA NPI is 1215545363. 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:

225 GOSTLIN ST
HAMMOND, IN
ZIP 46327-302
Phone: (708) 953-2575
Fax: (219) 289-9108

The enumeration date for this NPI number is 7/15/2020 and was last updated on 7/15/2020.

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	2811784	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	202006291401707	OTHER	INDIANA	HOME HEALTH

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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