Individual provider · Type 1 NPI
Slade Little
Clinical Laboratory Director (Non-physician) · Goodyear, AZ
NPI number
1073209995
Active
Practice location
16110 W Washington St
Goodyear, AZ 85338-6839
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.
About NPI 1073209995
Slade Little's National Provider Identifier is 1073209995, issued on Apr 13, 2023. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Goodyear, AZ. The record was last updated on Apr 13, 2023.