Individual provider · Type 1 NPI

Benedict I. Kuslikis, PhD

Clinical Laboratory Director (Non-physician) · Grand Rapids, MI

NPI number 1619099389 Active

Practice location

1840 Wealthy St SE
Grand Rapids, MI 49506-2921

Call (616) 774-7857 Map

Fax (616) 774-5487

Mailing address

100 Michigan St NE
Grand Rapids, MI 49503-2560

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 1619099389

Benedict I. Kuslikis, PhD's National Provider Identifier is 1619099389, issued on Apr 4, 2007. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.