person
Michael Ogbolu
Clinical Laboratory Director (Non-physician) in Baltimore, Maryland
NPI 1043438716

Michael Ogbolu is a Clinical Laboratory Director (Non-physician) based in Baltimore, MD and is specialized in Clinical Laboratory Director, Non-physician. Michael Ogbolu practices in Baltimore, MD. The NPI Number for Michael Ogbolu is 1043438716 and holds a License No. (Maryland).

The current practice location address for Michael Ogbolu is 2600 Liberty Heights Ave, Baltimore, MD and can be reached out via phone at 410-383-4615 and via fax at 410-383-4606. You can also correspond with Michael Ogbolu through the mailing address at 2600 LIBERTY HEIGHTS AVE, BALTIMORE, MD - 21215-7804 (mailing address contact number: 410-383-4615).

Location: 2600 Liberty Heights Ave, Baltimore, MD, 21215-7804
person
Provider Profile Details
NPI Number
1043438716
Provider Name
Michael Ogbolu
Credential
Provider Entity Type
Individual
Gender
Male
Address
2600 Liberty Heights Ave, Baltimore, MD, 21215-7804
Phone Number
410-383-4615
Fax Number
410-383-4606
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2ID0918551 01 CLIA#
institution
Provider Business Practice Location Address Details
Address
2600 Liberty Heights Ave
City
State
Zip
21215-7804
Phone Number
410-383-4615
Fax Number
410-383-4606
person
Provider Business Mailing Address Details
Address
2600 Liberty Heights Ave
City
State
Zip
21215-7804
Phone Number
410-383-4615
Fax Number
410-383-4606
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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