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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRANDA MALLICOAT

Active Sole Proprietor

MIRANDA MALLICOAT is a Clinical Chemistry Technician healthcare provider located in LOUISVILLE, Kentucky. NPI 1487309290 is currently active in the NPPES registry. Verify at CMS.

Clinical Chemistry Technician · LOUISVILLE, KY

Registration Details

NPI Number
1487309290
Provider Type
Individual
Gender
Female
NPI Issued
Feb 21, 2022 (4.5187558873607 yrs)
Last Updated
Mar 9, 2022
Licenses
TSA026 (KY)
TSA026 (KY)
Sole Proprietor
Yes

Practice Information

Address
3900 KRESGE WAY STE 51
LOUISVILLE, KY, 402074683
Browse KY providers · Browse ZIP 40207
Phone
5022595955
Primary Specialty
Clinical Chemistry Technician
246ZC0007X
Additional Specialty
Clinical Chemistry Technician

Other Clinical Chemistry Technician Providers in LOUISVILLE, KY

Name Credential NPI
MRS. CLAUDIA PAULETTE SMITH CSA 1922092204
KENNETH BRIAN COX KCSA 1730243239
MR. JAIME E CLAROS KCSA 1154485407
MRS. SUMMER RENEA LEWIS CST,CFA 1487792040
MRS. TISA MARIE REVELS SA-C, KCSA 1750424859
MS. FELICIA GAIL CATRON CFA 1396889978
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.