NPI 1427241504

Sarah Elizabeth Intravaia, MT

Practitioner Medical Technologist Marion, IL

Practice location

Address: 2401 W Main St, Marion, IL 62959-1188
Phone: (618) 997-5311
Mailing address: 1503 Davis Ave, Johnston City, IL 62951-2022

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence 225215 (IL)

Other Specialist/Technologist, Pathology providers in Illinois →

Registry record

NPI: 1427241504
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2007
Record last updated: 22 Aug 2007

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.