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: July 19, 2026.

  • Individual
  • Female
  • Technician, Pathology

About ALYSHA PETTIS

This page provides the complete NPI Profile along with additional information for Alysha Pettis, a provider established in Fruitland Park, Florida with a medical specialization in Technician, Pathology. The healthcare provider is registered in the NPI registry with number 1942884846 assigned on May 2021. The practitioner's primary taxonomy code is 246R00000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1942884846 Verify this NPI
Provider Name
ALYSHA PETTIS
Gender
Female
Entity Type
Individual
Location Address
1829 FOREST GLEN DR FRUITLAND PARK, FL 34731
Location Phone
(352) 818-2485
Mailing Address
1829 FOREST GLEN DR FRUITLAND PARK, FL 34731
Mailing Phone
(352) 818-2485
Is Sole Proprietor?
Yes
Enumeration Date
05-07-2021
Last Update Date
05-07-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician, Pathology

Taxonomy Code
246R00000X
Type
Technologists, Technicians & Other Technical Service Providers
Taxonomy Description
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.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Technician
1829 FOREST GLEN DR
FRUITLAND PARK, FL 34731

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942884846, enumerated as an "individual" on May 07, 2021.

The provider is located at 1829 FOREST GLEN DR FRUITLAND PARK, FL 34731 and the phone number is (352) 818-2485.

Technician, Pathology with taxonomy code 246R00000X.