Individual Healthcare Provider
Alex H. Shacklette, MD
Provider's NPPES record last updated: March 11, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1700440252
- Primary Specialty
- Pathology — Molecular Genetic Pathology
- Practice Location
- Salt Lake City, Utah
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 12:37 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pathology
Molecular Genetic Pathology
Allopathic & Osteopathic Physicians
A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders.
Taxonomy code 207ZP0007X Student in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Pathology (Utah)
- 14188290-1205
Practice Locations
Practice Location
Eccles Institute of Human Genetics: 15 N Medical Dr Rm
Salt Lake City, Utah 84112-4108
Phone: (801) 581-2121
Additional Practice Location
350 W 11th St Rm 4083
Indianapolis, Indiana 46202-4108
Phone: (317) 491-6000
Record Information
- Enumeration Date
- April 30, 2019
- Provider's NPPES Record Last Updated
- March 11, 2025
- Certification Date
- March 7, 2025
- NPISignal NPPES Dataset
- August 2026
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