KATRINA CORLISS MT
NPI 1013383934
Specialist/Technologist, Pathology - Medical Technologist in Ft Washacki, WY
Active since August 14, 2015
29 BLACK COAL RD, LABORATORY, FT WASHACKI, WY 82514(307) 335-5973(307) 332-7514 Get Directions Write a Review
About Katrina Corliss Mt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATRINA CORLISS MT (NPI 1013383934) is an individual medical technologist in Ft Washacki, Wyoming, licensed in Michigan (AAB 2050187) and active in the NPI registry since August 2015.
NPPES Registry Identity
NPI1013383934
Entity TypeIndividualFemale
Primary Taxonomy246QM0706X
Provider Legal NameKATRINA CORLISSCredential: MT
Location Address29 BLACK COAL RD, LABORATORYFt Washacki, WY 82514
Mailing Address3223 E Stage RdIonia, MI 48846-9718 · (307) 330-3012
Phone(307) 335-5973
Fax(307) 332-7514
Sole ProprietorNo
Enumeration DateAugust 14, 2015
✔ NPI 1013383934 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySpecialist/Technologist, Pathology · Medical TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246QM0706X
License✔ Licensed in MI · AAB 2050187
29 BLACK COAL RD, Ft Washacki, WY 82514
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Specialist/Technologist, Pathology (Medical Technologist)
29 BLACK COAL RD
FT. WASHAKIE, WY 82514
FT. WASHAKIE, WY 82514
Specialist/Technologist, Pathology (Medical Technologist)
29 BLACK COAL RD, LABORATORY
FORT WASHAKIE, WY 82514
FORT WASHAKIE, WY 82514
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013383934, enumerated as an "individual" on August 14, 2015.
The provider is located at 29 BLACK COAL RD LABORATORY FT WASHACKI, WY 82514 and the phone number is (307) 335-5973.
Specialist/Technologist, Pathology with taxonomy code 246QM0706X and a focus in Medical Technologist.
