Individual
DR. HEATHER LATISHA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.H.D., MLS(ASCP)CM
Contact information
Practice address
254 COLLEGE ST FLOOR 1, CLARKSVILLE, TN 37044-0001
(931) 221-7018
Mailing address
PO BOX 4756 15 GOVS LANE, CLARKSVILLE, TN 37044-0001
(931) 221-7018
Taxonomy
Speciality
Code
Description
License number
State
246QB0000X
Blood Banking Specialist/Technologist
—
—
246QC1000X
Chemistry Pathology Specialist/Technologist
—
—
246QH0000X
Hematology Specialist/Technologist
—
—
246QI0000X
Immunology Pathology Specialist/Technologist
—
—
246QL0900X
Laboratory Management Specialist/Technologist
Primary
—
—
246QM0706X
Medical Technologist
0000024390
TN
246QM0900X
Microbiology Specialist/Technologist
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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