Organization · Type 2 NPI
Icon Labs Inc.
Clinical Laboratory Director (Non-physician) · Sunrise, FL
NPI number
1548974157
Active
Practice location
4891 NW 103rd Ave Ste 11J
Sunrise, FL 33351-7955
Mailing address
5944 Coral Ridge Dr # 246
Coral Springs, FL 33076-3300
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 1548974157
Icon Labs Inc.'s National Provider Identifier is 1548974157, issued on Jan 9, 2023. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Sunrise, FL. The record was last updated on Jan 9, 2023.