Individual
SASHA M ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2426 55TH PL, INDIANAPOLIS, IN 46220-3502
(463) 221-2605
(463) 221-2507
Mailing address
2426 55TH PL, INDIANAPOLIS, IN 46220-3502
(463) 221-2605
(463) 221-2507
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
—
IN
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
IN
291U00000X
Clinical Medical Laboratory
Primary
—
IN
Other
Enumeration date
04/08/2025
Last updated
05/25/2025
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