Individual provider · Type 1 NPI

Alexander Childs Misenheimer, PA (ASCP)

Clinical Laboratory Director (Non-physician) · Albuquerque, NM

NPI number 1568258507 Active

Practice location

1100 Central Ave SE
Albuquerque, NM 87106-4930

Call (505) 841-1167 Map

Specialties and licenses

TaxonomyCodeLicense
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 1568258507

Alexander Childs Misenheimer, PA (ASCP)'s National Provider Identifier is 1568258507, issued on Apr 16, 2025. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Albuquerque, NM. The record was last updated on Apr 16, 2025.