NPI 1215545363

Shenell Moore, RMA

Practitioner Medical Technologist Hammond, IN

Practice location

Address: 225 Gostlin St, Hammond, IN 46327-1302
Phone: (708) 953-2575
Fax: (219) 289-9108

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence 2811784 (IL)

Other Specialist/Technologist, Pathology providers in Indiana →

Registry record

NPI: 1215545363
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2020
Record last updated: 15 Jul 2020

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.