Provider Demographics
NPI:1265291777
Name:MCGLOTHEN, NATASHA (CPT, INSTUCTOR, DOT)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:MCGLOTHEN
Suffix:
Gender:F
Credentials:CPT, INSTUCTOR, DOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2271 BAYOU LN
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-3658
Mailing Address - Country:US
Mailing Address - Phone:800-346-1401
Mailing Address - Fax:
Practice Address - Street 1:2271 BAYOU LN
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-3658
Practice Address - Country:US
Practice Address - Phone:800-346-1401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246RM2200X, 246Y00000X, 247000000X
LA246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory
No246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information
No247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information