Provider Demographics
NPI:1932389020
Name:CUNNINGHAM, ADA MONET
Entity type:Individual
Prefix:
First Name:ADA
Middle Name:MONET
Last Name:CUNNINGHAM
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 1:19 LAMBSON LN STE A104-2
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-2118
Mailing Address - Country:US
Mailing Address - Phone:302-544-2333
Mailing Address - Fax:302-351-7228
Practice Address - Street 1:19 LAMBSON LN STE A104-2
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-2118
Practice Address - Country:US
Practice Address - Phone:302-544-2333
Practice Address - Fax:302-351-7228
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2024-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical LaboratoryGroup - Single Specialty