Provider Demographics
NPI:1205584349
Name:LAYTON, SHELAH (CPT)
Entity type:Individual
Prefix:
First Name:SHELAH
Middle Name:
Last Name:LAYTON
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:SHELAH
Other - Middle Name:
Other - Last Name:JOKINEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2167 RAYSTOWN RD STE A
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:PA
Mailing Address - Zip Code:15537-4956
Mailing Address - Country:US
Mailing Address - Phone:215-500-7301
Mailing Address - Fax:
Practice Address - Street 1:2167 RAYSTOWN RD STE A
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:PA
Practice Address - Zip Code:15537-4956
Practice Address - Country:US
Practice Address - Phone:215-500-7301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy