Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEREASA SPACE, PA(ASCP)
Active Sole ProprietorTHEREASA SPACE, PA(ASCP) is a Specialist/Technologist, Pathology healthcare provider located in MUNSTER, Indiana. NPI 1710604863 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Pathology · MUNSTER, IN
Registration Details
- NPI Number
- 1710604863
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2022 (3.8371062354633 yrs)
- Last Updated
- Oct 19, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
901 MACARTHUR BLVDMUNSTER, IN, 463212901Browse IN providers · Browse ZIP 46321
- Phone
- 2197031784
- Primary Specialty
-
Specialist/Technologist, Pathology
246Q00000X
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.