Provider Demographics
NPI:1164616983
Name:CABELLON, JANICE (MT(ASCP))
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:CABELLON
Suffix:
Gender:F
Credentials:MT(ASCP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 ENGLEWOOD PKWY
Mailing Address - Street 2:G306
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2345
Mailing Address - Country:US
Mailing Address - Phone:315-299-2473
Mailing Address - Fax:
Practice Address - Street 1:801 ENGLEWOOD PKWY
Practice Address - Street 2:G306
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2345
Practice Address - Country:US
Practice Address - Phone:315-299-2473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist