Individual provider · Type 1 NPI

William Richard Woodruff

Clinical Laboratory Director (Non-physician) · Lower Brule, SD

NPI number 1053514554 Active

Practice location

601 Gall Street
Lower Brule, SD 57548-0248

Fax (605) 473-0607

Mailing address

PO Box 248
Lower Brule, SD 57548-0248

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.

7 other providers at this address

About NPI 1053514554

William Richard Woodruff's National Provider Identifier is 1053514554, issued on Jun 11, 2007. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Lower Brule, SD. The record was last updated on Jul 8, 2007.