EDITH VIRGINIA WHITING


Address: 23 Saraceno, Newport Coast, CA 92657-1305
Phone: 9496893941

EDITH VIRGINIA WHITING (NPI# 1205162740) 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) 1205162740
Entity Type Individual
Full Name EDITH VIRGINIA WHITING
Credential M.T.
Practice Address 23 Saraceno
Newport Coast
CA 92657-1305
Practice Telephone 9496893941
Mailing Telephone 9496893941
Enumeration Date 2009-10-18
Last Update Date 2009-10-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 246RM2200X Technician, Pathology
Specialization: Medical Laboratory
4353 HI Technologists, Technicians & Other Technical Service Providers
N 246RM2200X Technician, Pathology
Specialization: Medical Laboratory
TN38921 FL Technologists, Technicians & Other Technical Service Providers
Y 246RM2200X Technician, Pathology
Specialization: Medical Laboratory
MTA 22170 CA Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 23 SARACENO
City NEWPORT COAST
State CA
Zip Code 92657-1305

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Taxonomy Information

Taxonomy Code 246RM2200X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Medical Laboratory

Taxonomy Definition

Definition to come...

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1083255962 Adriel Joel Bennett Technician, Pathology 26389 Castle Ln, Murrieta, CA 92563-7306 2019-10-02
1679949093 Anabelle Myers Technician, Pathology 1825 Madera Cir, Corona, CA 92879-8210 2015-08-19
1487046512 Jocelyn Batchelder Technician, Pathology 1270 Sonoma Ct, Chula Vista, CA 91911-3732 2015-02-26
1154742963 Kazim Agbaje Technician, Pathology 3111 Christy Way, Spring Valley, CA 91977-2629 2013-12-20
1649583766 Latoya Yolanda Arrington-artis Technician, Pathology 9601 Country Falls Ln, Elk Grove, CA 95757-8347 2010-07-18
1215250139 Jennie Marquitta Gaines Technician, Pathology 8760 Redwood Dr Unit 141, Santee, CA 92071-7713 2010-03-05
1376872630 Randy James Smith Sr. Technician, Pathology 2549 E Valley Pkwy, Apt 1, Escondido, CA 92027-2972 2009-12-16
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Competitor

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City NEWPORT COAST
Zip Code 92657

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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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