Healthcare Provider Details

I. General information

NPI: 1932389020
Provider Name (Legal Business Name): ADA MONET CUNNINGHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2007
Last Update Date: 06/09/2024
Certification Date: 06/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 LAMBSON LN STE A104-2
NEW CASTLE DE
19720-2118
US

IV. Provider business mailing address

19 LAMBSON LN STE A104-2
NEW CASTLE DE
19720-2118
US

V. Phone/Fax

Practice location:
  • Phone: 302-544-2333
  • Fax: 302-351-7228
Mailing address:
  • Phone: 302-544-2333
  • Fax: 302-351-7228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: