Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710604863 Individual Practitioner Female Practitioner

Thereasa Space , PA(ASCP)

Specialist/Technologist, Pathology • Munster, IN

Professional Overview & Biography Verified Profile Summary

Thereasa Space, PA(ASCP) is a registered healthcare professional specializing in Specialist/Technologist, Pathology in Munster, IN. Practice services are available at 901 MACARTHUR BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

901 Macarthur Blvd

Munster, IN 463212901

Telephone 2197031784
Associated Practice Facility / Clinic
🏢 Munster Radiology Group Pc Facility NPI 1144207101

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist, Pathology in Munster, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Munster, IN (3 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-11
Specialist/Technologist, Pathology Primary Specialty

NUCC Taxonomy Code: 246Q00000X

(1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Farrukh Chaudhry , MD

Psychiatry & Neurology - Neurocritical Care

NPI 1003077900

Doctor of Medicine (M.D.)

NPI 1003082041

Doctor of Medicine (M.D.)

Dr. Avram Estes , MD

Emergency Medicine

NPI 1003297888

Doctor of Medicine (M.D.)

Richard Ladaga , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003996976

Certified Registered Nurse Anesthetist

Dr. Sunny Patel , MD

Anesthesiology

NPI 1013525047

Doctor of Medicine (M.D.)

Dr. Esteban Golombievski , MD

Psychiatry & Neurology - Vascular Neurology

NPI 1023339033

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2022

Registered at 901 MACARTHUR BLVD, MUNSTER, IN 463212901 (Tel: 2197031784)

📍
Updated Business Mailing Address October 19, 2022

Registered at 2417 INDIANA AVE, LANSING, IL 60438

👤
Provider Name / Credentials Updated October 19, 2022

Recorded as THEREASA SPACE, PA(ASCP)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2022

Specialist/Technologist, Pathology

🟢
Initial NPI Registration & Enumeration October 19, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710604863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2022
Last Update: October 19, 2022
Sole Proprietor: Yes

Mailing Address

2417 Indiana Ave

Lansing, IL 60438

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.