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Jeff Waters
Clinical Laboratory Director (Non-physician) in Missoula, Montana
NPI 1114326691

Jeff Waters is a Clinical Laboratory Director (Non-physician) based in Missoula, MT and is specialized in Clinical Laboratory Director, Non-physician. Jeff Waters practices in Missoula, MT. The NPI Number for Jeff Waters is 1114326691 and holds a License No. (Montana).

The current practice location address for Jeff Waters is 2809 Great Northern Loop, Missoula, MT and can be reached out via phone at 406-830-0680.

Location: 2809 Great Northern Loop, Missoula, MT, 59808-5200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114326691
Provider Name
Jeff Waters
Credential
Provider Entity Type
Individual
Gender
Male
Address
2809 Great Northern Loop, Missoula, MT, 59808-5200
Phone Number
406-830-0680
Fax Number
Provider Enumeration Date
08/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2809 Great Northern Loop
City
Missoula
State
Montana
Zip
59808-1749
Phone Number
406-830-0680
Fax Number
person
Provider Business Mailing Address Details
Address
2809 Great Northern Loop
City
Missoula
State
Montana
Zip
59808-1749
Phone Number
406-830-0680
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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