DEIDRE Y. CANNON – NPI #1164147799
Technician, Pathology

DEIDRE CANNON is a pathology technician located in FARMINGTON HILLS, MI. NPPES has assigned the NPI number 1164147799 to DEIDRE CANNON on October 06, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246RP1900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Phlebotomy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEIDRE CANNON below.

NPI Profile for
DEIDRE Y. CANNON

NPI Number
1164147799
Enumeration Date

(more than 3 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
DEIDRE Y. CANNON
Primary location
31839 KINGSWOOD SQUARE
FARMINGTON HILLS, MI 48334
Phone: (248) 836-7520 Fax:
Mailing address
6689 ORCHARD LAKE RD UNIT 142
WEST BLOOMFIELD, MI 48322-3404
Phone: (248) 836-7520 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Oct 02, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246RP1900X
- Technician, Pathology / Phlebotomy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.