Individual provider · Type 1 NPI
Olisha Chaquetta Thompson
Clinical Laboratory Director (Non-physician) · Kingstree, SC
NPI number
1700664877
Active
Practice location
112 W Main St
Kingstree, SC 29556-3344
Mailing address
92 Smeltzer Rd
Kingstree, SC 29556-9781
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.
About NPI 1700664877
Olisha Chaquetta Thompson's National Provider Identifier is 1700664877, issued on Sep 19, 2023. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Kingstree, SC. The record was last updated on Sep 19, 2023.