Healthcare Provider Details

I. General information

NPI: 1578420683
Provider Name (Legal Business Name): SHAQUOYA MONET WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 WILSON BLVD STE 700 PMB612
ARLINGTON VA
22209-2490
US

IV. Provider business mailing address

1550 WILSON BLVD STE 700
ARLINGTON VA
22209-2490
US

V. Phone/Fax

Practice location:
  • Phone: 919-740-2809
  • Fax:
Mailing address:
  • Phone: 919-740-2809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QL0900X
TaxonomyLaboratory Management Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: