Individual provider · Type 1 NPI

Michael Ogbolu

Clinical Laboratory Director (Non-physician) · Baltimore, MD

NPI number 1043438716 Active

Practice location

2600 Liberty Heights Ave
Baltimore, MD 21215-7804

Call (410) 383-4615 Map

Fax (410) 383-4606

Specialties and licenses

TaxonomyCodeLicense
Clinical Laboratory Director (Non-physician) Primary 247ZC0005XNone listed

Clinical Laboratory Director (Non-physician): 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.

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About NPI 1043438716

Michael Ogbolu's National Provider Identifier is 1043438716, issued on Apr 20, 2007. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Baltimore, MD. The record was last updated on Jul 8, 2007.