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Carysia Roberts, LABDIRECTOR
Clinical Laboratory Director (Non-physician) in Gary, Indiana
NPI 1295496578

Carysia Roberts is a Clinical Laboratory Director (Non-physician) based in Gary, IN and is specialized in Clinical Laboratory Director, Non-physician. Carysia Roberts practices in Gary, IN and has the professional credentials of LABDIRECTOR. The NPI Number for Carysia Roberts is 1295496578 and holds a License No. (Indiana).

The current practice location address for Carysia Roberts is 720 W 5Th Ave, Gary, IN and can be reached out via phone at 219-248-4912. You can also correspond with Carysia Roberts through the mailing address at 804 MARYLAND ST, GARY, IN - 46402-2545 (mailing address contact number: 219-248-4912).

Location: 720 W 5Th Ave, Gary, IN, 46402-2545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295496578
Provider Name
Carysia Roberts
Credential
LABDIRECTOR
Provider Entity Type
Individual
Gender
Female
Address
720 W 5Th Ave, Gary, IN, 46402-2545
Phone Number
219-248-4912
Fax Number
Provider Enumeration Date
01/07/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1984 01 IL GOVERMENT
1984 05 IN
1984 01 IN GOVERMENT
1984 05 IL
institution
Provider Business Practice Location Address Details
Address
720 W 5Th Ave
City
Gary
State
Indiana
Zip
46402-1808
Phone Number
219-248-4912
Fax Number
person
Provider Business Mailing Address Details
Address
720 W 5Th Ave
City
Gary
State
Indiana
Zip
46402-1808
Phone Number
219-248-4912
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.
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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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