Alex Shacklette, MD
NPI 1700440252 belongs to Alex Shacklette, MD, a molecular genetic pathology (pathology) physician with a practice location in Salt Lake City, UT. The NPI was issued on April 30, 2019, and the record was last updated in NPPES on March 11, 2025. The record lists 3 taxonomy codes. One additional practice location is listed.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Molecular Genetic Pathology (Pathology) Physician Primary | 207ZP0007X | 14188290-1205 (UT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | Not listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | (IN) |
Practice locations
Salt Lake City, UT 84112-4108
Local context
Active NPPES records list 5 providers with molecular genetic pathology (pathology) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.
The same primary taxonomy is listed by 5 in Utah and 193 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Alex H. Shacklette
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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