Organization · Type 2 NPI
Destined for Greatness
Clinical Laboratory Director (Non-physician) · Ripley, TN
NPI number
1790493336
Active
Practice location
274 Volz Ave
Ripley, TN 38063-2078
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.
Another provider at this address
About NPI 1790493336
Destined for Greatness's National Provider Identifier is 1790493336, issued on Nov 14, 2022. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Ripley, TN. The record was last updated on Nov 14, 2022.