| Doctor Name: | SALLY ANN CROSS |
| NPI Number: | 1053572776 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CLIN LAB SCIENTIST |
| License Number: | ASCP #134302 |
| Business Practice Address: | 8600 Tuscany Ave #205 Playa Del Rey, CA - 902938696 |
| Business Phone Number: | 3105789767 |
| Business Fax Number: | 3108231404 |
| Mailing Address: | 8600 Tuscany Ave, #205 PLAYA DEL REY |
| State: | CA |
| Postal Code: | 902938696 |
| Phone Number: | 3105789767 |
| Fax Number: | 3108231404 |
| NPI Enumeration Date: | 06/25/2008 |
| NPI Last Update Date: | 06/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246QM0706X |
| License Number: | ASCP #134302 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Pathology |
| Taxonomy Specialization: | Medical Technologist |
| Taxonomy Definition: | |