Individual provider · Type 1 NPI
Un Known Mufazzal Hameed
Clinical Laboratory Director (Non-physician) · Chicago, IL
NPI number
1114674462
Active
Practice location
5540 W North Ave
Chicago, IL 60639-4235
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.
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About NPI 1114674462
Un Known Mufazzal Hameed's National Provider Identifier is 1114674462, issued on Mar 7, 2022. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Chicago, IL. The record was last updated on Mar 7, 2022.