Individual provider · Type 1 NPI
Carol Ann Nufer
Clinical Laboratory Director (Non-physician) · Forest Park, IL
NPI number
1912193079
Active
Practice location
7211 Jackson Blvd, #2
Forest Park, IL 60130-3247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | MT-170462 (IL) |
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 1912193079
Carol Ann Nufer's National Provider Identifier is 1912193079, issued on Sep 21, 2007. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Forest Park, IL. The record was last updated on Sep 21, 2007.