person
Dr. Nicholas M Moore, PHD
Clinical Laboratory Director (Non-physician) in Chicago, Illinois
NPI 1073017679

Nicholas M Moore is a Clinical Laboratory Director (Non-physician) based in Chicago, IL and is specialized in Clinical Laboratory Director, Non-physician. Nicholas M Moore practices in Chicago, IL and has the professional credentials of PHD. The NPI Number for Nicholas M Moore is 1073017679 and holds a License No. (Illinois).

The current practice location address for Nicholas M Moore is 1653 W Congress Pkwy Ste 1173, Chicago, IL and can be reached out via phone at 312-942-3214 and via fax at 312-942-6787.

Location: 1653 W Congress Pkwy Ste 1173, Chicago, IL, 60612-3833
person
Provider Profile Details
NPI Number
1073017679
Provider Name
Nicholas M Moore
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1653 W Congress Pkwy Ste 1173, Chicago, IL, 60612-3833
Phone Number
312-942-3214
Fax Number
312-942-6787
Provider Enumeration Date
03/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1653 W Congress Pkwy Ste 1173
City
State
Zip
60612-3833
Phone Number
312-942-3214
Fax Number
312-942-6787
person
Provider Business Mailing Address Details
Address
1653 W Congress Pkwy Ste 1173
City
State
Zip
60612-3833
Phone Number
312-942-3214
Fax Number
312-942-6787
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Pathology
Speciality
Medical Technologist
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
()
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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