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ALYSHA PETTIS
NPI 1942884846
Technician, Pathology in Fruitland Park, FL

Active since May 07, 2021
1829 FOREST GLEN DR, FRUITLAND PARK, FL 34731(352) 818-2485 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alysha Pettis NPPES

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

ALYSHA PETTIS (NPI 1942884846) is an individual technician, pathology provider in Fruitland Park, Florida and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1942884846
Entity TypeIndividualFemale
Primary Taxonomy246R00000X
Provider Legal NameALYSHA PETTIS
Location Address1829 FOREST GLEN DRFruitland Park, FL 34731-6565
Mailing Address1829 Forest Glen DrFruitland Park, FL 34731-6565 · (352) 818-2485
Phone(352) 818-2485
Sole ProprietorYes
Enumeration DateMay 7, 2021
NPPES CertifiedMay 7, 2021
✔ NPI 1942884846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, PathologyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246R00000X
Definition
An individual with knowledge of specific techniques and instruments who performs all of the routine tests in a medical laboratory and who has the ability to discriminate between similar factors that directly affect procedures and results.
1829 FOREST GLEN DR, Fruitland Park, FL 34731
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Other Providers at the Same Location NPPES

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

GENTLE STICKS ON WHEELS
Technician
1829 FOREST GLEN DR
FRUITLAND PARK, FL 34731
Lake County (352) 431-1193

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 Alysha Pettis's NPI number?

The NPI number for Alysha Pettis is 1942884846. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Where is Alysha Pettis located?

Alysha Pettis practices at 1829 Forest Glen Dr, Fruitland Park, FL 34731. The listed phone number is (352) 818-2485.

What is Alysha Pettis's specialty?

The primary specialty registered for this NPI is Technician, Pathology with taxonomy code 246R00000X.

When was this NPI record last updated?

The NPPES record for Alysha Pettis was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.