Thereasa Space, PA(ASCP)
NPI 1710604863ActiveIndividual· Spec/Tech, Pathology· Munster, IN
Spec/Tech, Pathology (PA(ASCP)) in Munster, Indiana, with an NPI issued in October 2022.
Overview
| NPI | 1710604863 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA(ASCP) |
| Sole proprietor | Yes |
| NPI issued | Oct 19, 2022 |
| Last updated in NPPES | Oct 19, 2022 |
| Certified by provider | Oct 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Spec/Tech, Pathology Primary | 246Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|