Individual provider · Type 1 NPI
Cory A. Gall, PhD
Clinical Laboratory Director (Non-physician) · Lewiston, ID
NPI number
1821614512
Active
Practice location
2315 8th St
Lewiston, ID 83501-7301
Fax (208) 746-1383
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.
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About NPI 1821614512
Cory A. Gall, PhD's National Provider Identifier is 1821614512, issued on Jun 18, 2020. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Lewiston, ID. The record was last updated on Jun 18, 2020.