Organization · Type 2 NPI
My Covid Test Express, LLC
Clinical Laboratory Director (Non-physician) · Chicago, IL
NPI number
1669046306
Active
Practice location
1750 N California Ave
Chicago, IL 60647-5104
Mailing address
1448 N Milwaukee Ave Ste 205
Chicago, IL 60622-9225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Information Technician | 247000000X | None listed |
| 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.
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About NPI 1669046306
My Covid Test Express, LLC's National Provider Identifier is 1669046306, issued on May 17, 2021. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Chicago, IL. The record was last updated on Sep 22, 2021.