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Dr. Michael A. Stout, PHD,HCLD
Clinical Laboratory Director (Non-physician) in Gonzales, Louisiana
NPI 1346878352

Michael A. Stout is a Clinical Laboratory Director (Non-physician) based in Gonzales, LA and is specialized in Clinical Laboratory Director, Non-physician. Michael A. Stout practices in Gonzales, LA and has the professional credentials of PHD,HCLD. The NPI Number for Michael A. Stout is 1346878352 and holds a License No. (Louisiana).

The current practice location address for Michael A. Stout is 40401 Bailey Dr, Gonzales, LA and can be reached out via phone at 337-962-7216.

Location: 40401 Bailey Dr, Gonzales, LA, 70737-7168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346878352
Provider Name
Michael A. Stout
Credential
PHD,HCLD
Provider Entity Type
Individual
Gender
Male
Address
40401 Bailey Dr, Gonzales, LA, 70737-7168
Phone Number
337-962-7216
Fax Number
Provider Enumeration Date
03/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40401 Bailey Dr
City
Gonzales
State
Louisiana
Zip
70737-7168
Phone Number
337-962-7216
Fax Number
person
Provider Business Mailing Address Details
Address
40401 Bailey Dr
City
Gonzales
State
Louisiana
Zip
70737-7168
Phone Number
337-962-7216
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Pathology
Speciality
Laboratory Management, Diplomate
Taxonomy
246QL0901X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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