TIMOTHY GLENN EIKOM NPI 1740678887

NPI Information

NPI: 1740678887
Provider Name: TIMOTHY GLENN EIKOM
Classification: Technician, Pathology - 246RM2200X
Entity Type: Individual

Specialization: Medical Laboratory

Address:
500 N US HIGHWAY 89
PRESCOTT, AZ
ZIP 86313
Phone: (928) 445-4860
Get Directions

Timothy Glenn Eikom is a medical laboratory technician pathology in Prescott, AZ. Timothy Glenn Eikom NPI is 1740678887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 N US HIGHWAY 89
PRESCOTT, AZ
ZIP 86313-001
Phone: (928) 445-4860

The enumeration date for this NPI number is 12/23/2014 and was last updated on 12/23/2014.

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			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: 11/14/2023

NPI Synchronization or Removal

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