NPI Profile for SAMIKA BASKERVILLE in SPRINGFIELD, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Phlebotomy |
246RP1900X | |||
Medical Laboratory |
246RM2200X |
| NPI # | 1699648360 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/27/2025 | |
| Last updated | 09/27/2025 - About 8 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SAMIKA BASKERVILLE
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