Shalanda Lewis - Chicago, IL

Shalanda Lewis

Clinical Laboratory Director (Non-physician) in Chicago, Illinois

NPI 1134888480

Shalanda Lewis is a Clinical Laboratory Director (Non-physician) based in Chicago, IL and is specialized in Clinical Laboratory Director, Non-physician. Shalanda Lewis practices in Chicago, IL. The NPI Number for Shalanda Lewis is 1134888480 and holds a License No. 14D2245600 (Illinois).

The current practice location address for Shalanda Lewis is 3136 S Prairie Ave, Chicago, IL and can be reached out via phone at 312-479-1530.

Location: 3136 S Prairie Ave, Chicago, IL, 60616-3904

NPI Number

1134888480

Provider Name

Shalanda Lewis

Credential

Provider Entity Type

Individual

Gender

Female

Address

3136 S Prairie Ave, Chicago, IL, 60616-3904

Phone Number

312-479-1530

Fax Number

Provider Enumeration Date

12/14/2021

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
873956300	01	IL	LABORATORY
873956300	01	IL	LAB

Address

3136 S Prairie Ave

City

Chicago

State

Illinois

Zip

60616-3904

Phone Number

312-479-1530

Fax Number

Address

3136 S Prairie Ave

City

Chicago

State

Illinois

Zip

60616-3904

Phone Number

312-479-1530

Fax Number

Type

Technologists, Technicians & Other Technical Service Providers

Classification

Technician, Pathology

Speciality

Clinical Laboratory Director, Non-physician

Taxonomy

247ZC0005X

License No.

14D2245600 (Illinois)

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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