Organization · Type 2 NPI
Ade Esthetics Medbar
Clinical Laboratory Director (Non-physician) · Country Club Hills, IL
NPI number
1104586205
Active
Practice location
17907 Fairoaks Dr
Country Club Hills, IL 60478-2930
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 1104586205
Ade Esthetics Medbar's National Provider Identifier is 1104586205, issued on Dec 30, 2021. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Country Club Hills, IL. The record was last updated on Dec 30, 2021.