Doctor Name: | MARBIE DOWNEN |
NPI Number: | 1093070880 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MT |
License Number: | 143106 |
Business Practice Address: | 801 S West St Executive Center Suite 123 Olney, IL - 624501334 |
Business Phone Number: | 8128873946 |
Business Fax Number: | 8665019318 |
Mailing Address: | 801 S West St, Executive Center Suite 123 OLNEY |
State: | IL |
Postal Code: | 624501334 |
Phone Number: | 8128873946 |
Fax Number: | 8665019318 |
NPI Enumeration Date: | 07/09/2012 |
NPI Last Update Date: | 07/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RM2200X |
License Number: | 143106 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Medical Laboratory |
Taxonomy Definition: |