Ashantris Bass
Technician, Pathology, Medical Laboratory in Winston Salem, NC. Individual provider (NPI-1).
NPI number1275319204
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1275319204
- Entity type
- Individual (NPI-1)
- Name
- Ashantris Bass
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2023
- Certification date
- Sep 6, 2023
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246RM2200X | Technician, Pathology, Medical Laboratory | – | – | Yes |
| 247ZC0005X | Pathology, Clinical Laboratory Director, Non-physician | – | – |
Practice location
1540 Westbrook Plaza Dr Ste BWinston Salem, NC 27103-1331
Phone 743-900-3306
Mailing address
1039 Glenmont RdWinston Salem, NC 27107-1561
Phone 336-403-3239
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