Provider Demographics
NPI:1154165280
Name:JAMES, RYAN (CMA)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15202 NW 147TH DR STE 1200-120
Mailing Address - Street 2:
Mailing Address - City:ALACHUA
Mailing Address - State:FL
Mailing Address - Zip Code:32615-5331
Mailing Address - Country:US
Mailing Address - Phone:352-214-1085
Mailing Address - Fax:
Practice Address - Street 1:15202 NW 147TH DR STE 1200-120
Practice Address - Street 2:
Practice Address - City:ALACHUA
Practice Address - State:FL
Practice Address - Zip Code:32615-5331
Practice Address - Country:US
Practice Address - Phone:352-214-1085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy