MS. TOYA LYNN BEATTIE


Address: 409 E Maple Dr, Glenwood, IL 60425-1438
Phone: 7083720508

MS. TOYA LYNN BEATTIE (NPI# 1649693235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649693235
Entity Type Individual
Full Name MS. TOYA LYNN BEATTIE
Practice Address 409 E Maple Dr
Glenwood
IL 60425-1438
Practice Telephone 7083720508
Mailing Telephone 7083720508
Enumeration Date 2014-02-03
Last Update Date 2014-02-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
25388387 IL Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL ASCP 25388387 01

Office Location

Street Address 409 E MAPLE DR
City GLENWOOD
State IL
Zip Code 60425-1438

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1588939003 Dabrene P Goree Social Worker 1122 W Iowa St, Glenwood, IL 60425-1025 2012-03-16
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Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

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1891304259 Park and Test LLC Technician, Pathology 2015 Ridge Ave, Evanston, IL 60201-2713 2020-07-30
1235759762 Helena C Simms Technician, Pathology 16237 Honore Ave, Markham, IL 60428-5713 2020-04-24
1407499007 You Matter We Care L.L.C. Technician, Pathology 1361 Manning Ave, Montgomery, IL 60538-1076 2019-10-26
1215570809 Caring Hands Lab & Phlebotomy, LLC Technician, Pathology 944 Roosevelt Rd, Glen Ellyn, IL 60137-7829 2019-10-25
1447891007 Joy Viray Technician, Pathology 581 Burlington Ave Apt 5, Clarendon Hills, IL 60514-1183 2019-10-04
1326693235 Trina Lavon Downs Technician, Pathology 15101 Grant St, Dolton, IL 60419-2628 2019-08-07
1336610807 Caroline Arnould Technician, Pathology 832 N Galena Ave, Dixon, IL 61021-1519 2018-12-10
1801376470 Shemekia Walker Technician, Pathology 2337 S 7th St, Springfield, IL 62703-3428 2018-08-14
1912413196 Tamara Hobson Technician, Pathology 2211 Lawndale Ave, Rockford, IL 61103-4303 2017-12-24
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Competitor

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City GLENWOOD
Zip Code 60425

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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