MRS. DEONDRALIQUE LASHAE GREENE NRCMACPT NPI 1396524153

NPI Information

NPI: 1396524153
Provider Name: MRS. DEONDRALIQUE LASHAE GREENE, NRCMA,CPT
Classification: Technician, Pathology - 246RM2200X
Entity Type: Individual

Specialization: Medical Laboratory

Address:
3828 CIBOLO DR APT 104
FORT WORTH, TX
ZIP 76133
Phone: (469) 279-7946
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MRS. Deondralique Lashae Greene, NRCMA,CPT is a medical laboratory technician pathology in Fort Worth, TX. MRS. Deondralique Lashae Greene, NRCMA,CPT NPI is 1396524153. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3828 CIBOLO DR APT 104
FORT WORTH, TX
ZIP 76133-576
Phone: (469) 279-7946
Fax: (580) 615-8002

The enumeration date for this NPI number is 9/21/2023 and was last updated on 10/20/2023.

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	246RM2200X	Technician, Pathology	Medical Laboratory		TEXAS	Yes

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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