Provider Demographics
NPI:1124777016
Name:HILL-ALIBEY, LA'SHAY YVETTE
Entity type:Individual
Prefix:MS
First Name:LA'SHAY
Middle Name:YVETTE
Last Name:HILL-ALIBEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1626 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-6305
Mailing Address - Country:US
Mailing Address - Phone:833-486-7731
Mailing Address - Fax:267-212-1976
Practice Address - Street 1:1626 LOCUST ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-6305
Practice Address - Country:US
Practice Address - Phone:833-486-7731
Practice Address - Fax:267-212-1976
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-20
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA7466-161-089-4052246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy