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Jack Ji, PHD,FACMG
Clinical Laboratory Director (Non-physician) in South San Francisco, California
NPI 1205494218

Jack Ji is a Clinical Laboratory Director (Non-physician) based in South San Francisco, CA and is specialized in Clinical Laboratory Director, Non-physician. Jack Ji practices in South San Francisco, CA and has the professional credentials of PHD,FACMG. The NPI Number for Jack Ji is 1205494218 and holds a License No. JIXXJ1 (California).

The current practice location address for Jack Ji is 180 Kimball Way, South San Francisco, CA and can be reached out via phone at 888-268-6795 and via fax at 608-541-2450.

Location: 180 Kimball Way, South San Francisco, CA, 94080-6218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205494218
Provider Name
Jack Ji
Credential
PHD,FACMG
Provider Entity Type
Individual
Gender
Male
Address
180 Kimball Way, South San Francisco, CA, 94080-6218
Phone Number
888-268-6795
Fax Number
608-541-2450
Provider Enumeration Date
06/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
180 Kimball Way
City
South San Francisco
State
California
Zip
94080-6218
Phone Number
888-268-6795
Fax Number
608-541-2450
person
Provider Business Mailing Address Details
Address
180 Kimball Way
City
South San Francisco
State
California
Zip
94080-6218
Phone Number
888-268-6795
Fax Number
608-541-2450
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.
JIXXJ1 (New York)
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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