Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALVIN JOSEPH WALLACE, CSA
Active Sole ProprietorALVIN JOSEPH WALLACE, CSA is a Medical Laboratory Technician healthcare provider located in EDGEWOOD, Kentucky. NPI 1598824096 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · EDGEWOOD, KY
Registration Details
- NPI Number
- 1598824096
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2006 (19.659575368706 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 MEDICAL VILLAGE DR STE 338EDGEWOOD, KY, 410175414Browse KY providers · Browse ZIP 41017
- Phone
- 8593412802
- Primary Specialty
-
Medical Laboratory Technician
246ZS0410X
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.