RACHELLE RUSSELL


Address: 1720 Market St., 775631, St. Louis, MO 63177
Phone: 6186411655

RACHELLE RUSSELL (NPI# 1699148163) 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) 1699148163
Entity Type Individual
Full Name RACHELLE RUSSELL
Practice Address 1720 Market St.
775631
St. Louis
MO 63177
Practice Telephone 6186411655
Mailing Telephone 6186411655
Enumeration Date 2015-11-05
Last Update Date 2015-11-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 246RM2200X Technician, Pathology
Specialization: Medical Laboratory
Technologists, Technicians & Other Technical Service Providers
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
Technologists, Technicians & Other Technical Service Providers
N 247200000X Technician, Other Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 1720 MARKET ST.
775631
City ST. LOUIS
State MO
Zip Code 63177

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1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1255956611 Efehi Kelly Ogbomo Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 2020-06-11
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1497381206 Washington University Durable Medical Equipment & Medical Supplies 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 2020-03-13
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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...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558980698 Abbigayle Kathryn Mcdougal-benjamin Technician, Pathology 670 Katy Dr, Boonville, MO 65233-2886 2020-04-09
1821620782 Lavita Green Technician, Pathology 547 Grand Blvd, Kansas City, MO 64106-1202 2020-02-09
1396375689 Jamilya Crittenden Technician, Pathology 2252 Ne Town Centre Blvd Apt 1701, Lees Summit, MO 64064-2531 2020-01-25
1508374422 Jeff Hahnen Technician, Pathology 11915 Dogwood Rd, Carthage, MO 64836-3284 2018-01-12
1780195966 Midwest Equipment Srv Systems LLC Technician, Pathology 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 2017-10-16
1457888133 Florence Allen Technician, Pathology 2305 N Waterford Dr, Florissant, MO 63033-2345 2017-05-12
1063956084 Shonta Brenson Technician, Pathology 1323 Nw Hidden Ridge Cir, Blue Springs, MO 64015-2719 2016-12-09
1871952853 Michael Pittman Technician, Pathology 101 N Range Line Rd # 304, Joplin, MO 64801-4118 2016-02-18
1023499795 Marcia Lynette James Technician, Pathology 4911 Michigan Ave, Saint Louis, MO 63111-1719 2015-06-17
1205074614 Amber Jones Technician, Pathology 1403 Court St Apt A, Columbia, MO 65201-6499 2009-01-23
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Competitor

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City ST. LOUIS
Zip Code 63177

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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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