person
Glen Thomas Hansen, PHD
Clinical Laboratory Director (Non-physician) in San Diego, California
NPI 1013786425

Glen Thomas Hansen is a Clinical Laboratory Director (Non-physician) based in Minneapolis, CA and is specialized in Clinical Laboratory Director, Non-physician. Glen Thomas Hansen practices in San Diego, CA and has the professional credentials of PHD. The NPI Number for Glen Thomas Hansen is 1013786425 and holds a License No. (California).

The current practice location address for Glen Thomas Hansen is 10581 Roselle St, San Diego, CA and can be reached out via phone at 858-258-9493. You can also correspond with Glen Thomas Hansen through the mailing address at 4665 GOLDENROD LN N, MINNEAPOLIS, MN - 55442-2493 (mailing address contact number: 161-275-1210).

Location: 10581 Roselle St, San Diego, CA, 55442-2493
person
Provider Profile Details
NPI Number
1013786425
Provider Name
Glen Thomas Hansen
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
10581 Roselle St, San Diego, CA, 55442-2493
Phone Number
858-258-9493
Fax Number
Provider Enumeration Date
12/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10581 Roselle St
City
State
Zip
92121-1519
Phone Number
858-258-9493
Fax Number
person
Provider Business Mailing Address Details
Address
4665 Goldenrod Ln N
City
State
Zip
55442-2493
Phone Number
161-275-1210
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
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Definition
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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