Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHY L WAGONER, CST
Active Sole ProprietorSHY L WAGONER, CST is a Medical Laboratory Technician healthcare provider located in SPRINGFIELD, Illinois. NPI 1164655452 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · SPRINGFIELD, IL
Registration Details
- NPI Number
- 1164655452
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 2, 2009 (16.910568325277 yrs)
- Last Updated
- Feb 17, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
2921 MONTVALE DRSPRINGFIELD, IL, 627045359Browse IL providers · Browse ZIP 62704
- Phone
- 2177872700
- Fax
- 2177872715
- Primary Specialty
-
Medical Laboratory Technician
246ZS0410X
Other Medical Laboratory Technician Providers in SPRINGFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| MS. MELISSA KAY WATSON | CSFA | 1225184401 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.