NPI 1710604863

Thereasa Space, PAASCP

Practitioner Pathology Specialist/Technologist Munster, IN

Practice location

Address: 901 Macarthur Blvd, Munster, IN 46321-2901
Phone: (219) 703-1784
Mailing address: 2417 Indiana Ave, Lansing, IL 60438

Registered specialties

Pathology Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Q00000X

Other Specialist/Technologist, Pathology providers in Indiana →

Registry record

NPI: 1710604863
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2022
Record last updated: 19 Oct 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.