Individual provider · Type 1 NPI

Bertrand Tankouo Sandjong, PhD, D(ABMM)

Clinical Laboratory Director (Non-physician) · Lubbock, TX

NPI number 1386291565 Active

Practice location

5117 34th St Ste B
Lubbock, TX 79410-2304

Fax (806) 993-2000

Specialties and licenses

TaxonomyCodeLicense
Clinical Laboratory Director (Non-physician) Primary 247ZC0005X1256

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 1386291565

Bertrand Tankouo Sandjong, PhD, D(ABMM)'s National Provider Identifier is 1386291565, issued on Aug 21, 2019. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Lubbock, TX. The record was last updated on Aug 21, 2019.