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.
| Specialty | Taxonomy Code |
|---|
* Indicates primary specialty
| NPI Number | 1568302990 |
| Credentials | |
| Entity | Individual |
| Enumeration date | 03/28/2026 |
| Last updated | 03/30/2026 - About 2 months ago |
| Sole proprietor1 | Yes |
| Identifiers | n/a |
| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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