Provider Demographics
NPI:1306694765
Name:MICHAELS, CASSANDRA (RDMS)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:
Other - Last Name:CULP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDMS
Mailing Address - Street 1:4989 ROUTE 309
Mailing Address - Street 2:
Mailing Address - City:CENTER VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18034-9423
Mailing Address - Country:US
Mailing Address - Phone:610-509-0503
Mailing Address - Fax:
Practice Address - Street 1:4989 ROUTE 309
Practice Address - Street 2:
Practice Address - City:CENTER VALLEY
Practice Address - State:PA
Practice Address - Zip Code:18034-9423
Practice Address - Country:US
Practice Address - Phone:610-509-0503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography