Provider Demographics
NPI:1467904755
Name:YIP, JAMES (MS,PA(ASCP)CM)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:YIP
Suffix:
Gender:M
Credentials:MS,PA(ASCP)CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 PEBBLE LN
Mailing Address - Street 2:APT. B
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-7299
Mailing Address - Country:US
Mailing Address - Phone:314-324-2418
Mailing Address - Fax:
Practice Address - Street 1:210 PEBBLE LN
Practice Address - Street 2:APT. B
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-7299
Practice Address - Country:US
Practice Address - Phone:314-324-2418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Pathology