An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
| Full Name: | Clinical Laboratory Director (Non-physician) |
| Taxonomy Code: | 247ZC0005X |
| Level I, Provider Grouping: | Technologists, Technicians & Other Technical Service Providers |
| Level II, Classification: | Technician, Pathology |
| Additional Info: | Source: National Uniform Claim Committee [1/1/2007: new] |
3070 MCCANN FARM DR STE 112
Garnet Valley, 19060-2131 Pennsylvania
NPI: 1174239669
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228 W HOSPITALITY LN STE F2
San Bernardino, 92408-3268 California
NPI: 1255088746
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700 CHILDRENS DR
Columbus, 43205-2639 Ohio
NPI: 1417696634
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SOUTH CHICAGO LAB SUITE # 5
Chicago, 60620-2402 Illinois
NPI: 1144816356
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6117 W 79TH PL
Burbank, 60459-1901 Illinois
NPI: 1699429316
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1904 TW ALEXANDER DR
Durham, 27709-0153 North Carolina
NPI: 1801432117
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ROAD 111 KM 4.2
Lares, 00669 Puerto Rico
NPI: 1568780443
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550 6TH AVE N
Wolf Point, 59201-6000 Montana
NPI: 1821665860
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4301 W MARKHAM ST
Little Rock, 72205-7101 Arkansas
NPI: 1679813372
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JR1 CALLE LIZZIE GRAHAM
Toa Baja, 00949-3637 Puerto Rico
NPI: 1134318405
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1551 EASTLAKE AVE E STE 200
Seattle, 98102-7402 Washington
NPI: 1770229981
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18000 W 99TH ST
Lenexa, 66219-1233 Kansas
NPI: 1922649326
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