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

SASHA M ODOM

Active Sole Proprietor

SASHA M ODOM is a Clinical Medical Laboratory healthcare provider located in INDIANAPOLIS, Indiana. NPI 1699569269 is currently active in the NPPES registry. Verify at CMS.

Clinical Medical Laboratory · INDIANAPOLIS, IN

Registration Details

NPI Number
1699569269
Provider Type
Individual
Gender
Female
NPI Issued
Apr 8, 2025 (1.3083115980608 yrs)
Last Updated
May 25, 2025
Sole Proprietor
Yes

Practice Information

Address
2426 55TH PL
INDIANAPOLIS, IN, 462203502
Browse IN providers · Browse ZIP 46220
Phone
4632212605
Fax
4632212507
Primary Specialty
Clinical Medical Laboratory
291U00000X
Additional Specialty
247ZC0005X
Additional Specialty
Clinical Medical Laboratory

Other Clinical Medical Laboratory Providers in INDIANAPOLIS, IN

Name Credential NPI
DR. IN SOOK SEO IN SOOK SEO, M.D. 1558595124
VICTORIA A ANDERSON CNA;( CCMA) 1922773241
SHVONNE WATSON 1922710573
LATONIA DEANN TRIPLETT REGISTERED NURSE 1508607821
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.