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Mr. Slade Little
Clinical Laboratory Director (Non-physician) in Goodyear, Arizona
NPI 1073209995

Slade Little is a Clinical Laboratory Director (Non-physician) based in Goodyear, AZ and is specialized in Clinical Laboratory Director, Non-physician. Slade Little practices in Goodyear, AZ. The NPI Number for Slade Little is 1073209995 and holds a License No. (Arizona).

The current practice location address for Slade Little is 16110 W Washington St, Goodyear, AZ and can be reached out via phone at 505-330-0559.

Location: 16110 W Washington St, Goodyear, AZ, 85338-6839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073209995
Provider Name
Slade Little
Credential
Provider Entity Type
Individual
Gender
Male
Address
16110 W Washington St, Goodyear, AZ, 85338-6839
Phone Number
505-330-0559
Fax Number
Provider Enumeration Date
04/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16110 W Washington St
City
Goodyear
State
Arizona
Zip
85338-6839
Phone Number
505-330-0559
Fax Number
person
Provider Business Mailing Address Details
Address
16110 W Washington St
City
Goodyear
State
Arizona
Zip
85338-6839
Phone Number
505-330-0559
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
247ZC0005X
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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