Provider Demographics
NPI:1598939225
Name:BERGMAN, JANET LYNN (MT(ASCP))
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:LYNN
Last Name:BERGMAN
Suffix:
Gender:F
Credentials:MT(ASCP)
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:LYNN
Other - Last Name:PYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT(ASCP)
Mailing Address - Street 1:1901 OSAGE ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-1653
Mailing Address - Country:US
Mailing Address - Phone:913-682-3490
Mailing Address - Fax:
Practice Address - Street 1:4101 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-5014
Practice Address - Country:US
Practice Address - Phone:913-682-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist