NPI 1003588732

Davita J Cook, MT

Practitioner Clinical Medical Laboratory Huber Heights, OH

Practice location

Address: 4572 Kapp Dr, Huber Heights, OH 45424-5921
Phone: (937) 250-9938

Registered specialties (4)

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 1003588732 (OH)

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Technician/Technologist

Eye and Vision Services Providers Taxonomy 156F00000X Licence 1003588732 (OH)

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Respiratory/Developmental/Rehabilitative Specialist/Technologist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225500000X Licence 1003588732 (OH)

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Technician/Technologist

Eye and Vision Services Providers Taxonomy 156F00000X Licence 6009038 (NY)

Registry record

NPI: 1003588732
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2021
Record last updated: 22 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.