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MARLON PEMBERTON
NPI 1942746185
Specialist/Technologist, Pathology - Medical Technologist in Normal, IL

Active since January 11, 2017
1604 VISA DR STE 1, NORMAL, IL 61761(309) 454-1100(309) 454-1107 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Marlon Pemberton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLON PEMBERTON (NPI 1942746185) is an individual medical technologist in Normal, Illinois, licensed in New York (246ZE0600X) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1942746185
Entity TypeIndividualMale
Primary Taxonomy246QM0706X
Provider Legal NameMARLON PEMBERTON
Location Address1604 VISA DR STE 1Normal, IL 61761-2195
Mailing Address1604 Visa Dr Ste 1Normal, IL 61761-2195 · (309) 454-1100 · Fax (309) 454-1107
Phone(309) 454-1100
Fax(309) 454-1107
Sole ProprietorYes
Enumeration DateJanuary 11, 2017
✔ NPI 1942746185 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 NY · 246ZE0600X
1604 VISA DR STE 1, Normal, IL 61761
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANDI HAZELWONDER CST
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
KENT PETERSEN RN
Registered Nurse
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
MR. HESTON J ALLRED
Specialist/Technologist, Other (Electroneurodiagnostic)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
YULIA GULAY
Specialist/Technologist, Other (Electroneurodiagnostic)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
MS. DESIREE A PADILLA IONM TECHNOLOGIST
Specialist/Technologist, Other (Electroneurodiagnostic)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
JULIE L DIETERMAN RN, CNOR, RNFA
Registered Nurse (Registered Nurse First Assistant)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
STACEY J GIESE RN
Specialist/Technologist, Other (Surgical Assistant)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
EMILY WOLF CST
Physician Assistant (Surgical)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716

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 Marlon Pemberton's NPI number?

The NPI number for Marlon Pemberton is 1942746185. It was assigned to this individual provider in the NPPES registry on January 11, 2017.

Where is Marlon Pemberton located?

Marlon Pemberton practices at 1604 Visa Dr Ste 1, Normal, IL 61761. The listed phone number is (309) 454-1100.

What is Marlon Pemberton'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 Marlon Pemberton was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.