Organization · Type 2 NPI
Bevel Up Medical Services
Clinical Laboratory Director (Non-physician) · Chicago, IL
NPI number
1891528816
Active
Practice location
1105 W 104th St
Chicago, IL 60643-3052
Mailing address
1130 S Canal St # 1347
Chicago, IL 60607-4907
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 1891528816
Bevel Up Medical Services's National Provider Identifier is 1891528816, issued on Aug 23, 2024. 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 Aug 23, 2024.