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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

NPPES record last updated: August 14, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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
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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.

MR. CHRISTOPHER G NELSON MT(ASCP)
Specialist/Technologist, Pathology (Medical Technologist)
29 BLACK COAL RD
FT. WASHAKIE, WY 82514
Fremont County (307) 332-7692
MS. CARYL B PARKS MT(ASCP)
Specialist/Technologist, Pathology (Medical Technologist)
29 BLACK COAL RD, LABORATORY
FORT WASHAKIE, WY 82514
Fremont County (307) 332-7672
BETH SCHULTE
Clinical Medical Laboratory
29 BLACK COAL RD
FORT WASHAKIE, WY 82514
Fremont County (307) 332-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katrina Corliss's NPI number?

The NPI number for Katrina Corliss is 1013383934. It was assigned to this individual provider in the NPPES registry on August 14, 2015.

Where is Katrina Corliss located?

Katrina Corliss practices at 29 Black Coal Rd Laboratory, Ft Washacki, WY 82514. The listed phone number is (307) 335-5973.

What is Katrina Corliss's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Medical Technologist, with taxonomy code 246QM0706X.

When was this NPI record last updated?

The NPPES record for Katrina Corliss was last updated on August 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.