Individual provider · Type 1 NPI

Tiffany Muhammad

Clinical Laboratory Director (Non-physician) · Mcdonough, GA

NPI number 1245073584 Active

Practice location

155 Westridge Pkwy Ste 225
Mcdonough, GA 30253-3052

Fax (678) 348-7103

Mailing address

155 Westridge Pkwy Ste 225C7
Mcdonough, GA 30253-3049

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant 3747P1801XNone listed
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.

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About NPI 1245073584

Tiffany Muhammad's National Provider Identifier is 1245073584, issued on Jun 14, 2024. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Mcdonough, GA. The record was last updated on Jun 14, 2024.