Individual provider · Type 1 NPI
Shasha Letrice Brooks, MEDICAL ASSISTANT
Clinical Laboratory Director (Non-physician) · Merrillville, IN
Practice location
5490 Broadway Ste L-6
Merrillville, IN 46410-1663
Fax (219) 874-1682
Mailing address
150 E 59th Ave Apt 1
Merrillville, IN 46410-2657
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.
Other clinical laboratory director (non-physician) providers in Merrillville
About NPI 1689456758
Shasha Letrice Brooks, MEDICAL ASSISTANT's National Provider Identifier is 1689456758, issued on Oct 13, 2023. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Merrillville, IN. The record was last updated on Oct 14, 2023.