Organization · Type 2 NPI
Tricity Imaging & Diagnostics
Clinical Laboratory Director (Non-physician) · Petersburg, VA
NPI number
1619110475
Active
Practice location
603 S Sycamore St
Petersburg, VA 23803-5814
Fax (540) 854-5800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | S287380 (VA) |
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.
2 other providers at this address
Other clinical laboratory director (non-physician) providers in Petersburg
About NPI 1619110475
Tricity Imaging & Diagnostics's National Provider Identifier is 1619110475, issued on Apr 9, 2009. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Petersburg, VA. The record was last updated on Apr 9, 2009.