MEDICARE: KAROLYN CELES JONES MT (ASCP)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246QM0706X	Medical Technologist

General Provider Information

NPI Number	:	1225277114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAROLYN CELES JONES MT (ASCP)

Provider Business Mailing Address
First Line	:	1837 OAK BROOK CIR
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48507-1447
Country	:	US
Telephone Number	:	810-964-0260
Fax Number	:

Provider Business Practice Location Address
First Line	:	1837 OAK BROOK CIR
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48507-1447
Country	:	US
Telephone Number	:	810-964-0260
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2009
Last Update Date	:	02/17/2009

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