Individual provider · Type 1 NPI
Shakia Leann Nelson, CEO
Clinical Laboratory Director (Non-physician) · Fayetteville, NC
NPI number
1063158582
Active
Practice location
1830 Owen Dr Ste 202-2
Fayetteville, NC 28304-1611
Fax (910) 500-3999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | None 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.
Another provider at this address
About NPI 1063158582
Shakia Leann Nelson, CEO's National Provider Identifier is 1063158582, issued on May 8, 2022. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Fayetteville, NC. The record was last updated on May 8, 2022.