Provider Demographics
NPI:1689242323
Name:BANKS, CHRIS ALAN (PHLEBOTOMIST)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:ALAN
Last Name:BANKS
Suffix:
Gender:M
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7207 HANOVER PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2015
Mailing Address - Country:US
Mailing Address - Phone:202-553-2603
Mailing Address - Fax:
Practice Address - Street 1:7207 HANOVER PKWY STE B
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2015
Practice Address - Country:US
Practice Address - Phone:202-553-2603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246R00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Pathology