Organization · Type 2 NPI
Assurance Lab Tests
Clinical Laboratory Director (Non-physician) · Indianapolis, IN
NPI number
1417601204
Active
Practice location
3361 N Pennsylvania St
Indianapolis, IN 46205-3415
Mailing address
4961 Seville Dr
Indianapolis, IN 46228-2176
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.
Another provider at this address
Other clinical laboratory director (non-physician) providers in Indianapolis
About NPI 1417601204
Assurance Lab Tests's National Provider Identifier is 1417601204, issued on Feb 9, 2022. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 9, 2022.