person
Lewis Jackson, PHD
Clinical Laboratory Director (Non-physician) in Louisville, Kentucky
NPI 1376138347

Lewis Jackson is a Clinical Laboratory Director (Non-physician) based in Louisville, KY and is specialized in Clinical Laboratory Director, Non-physician. Lewis Jackson practices in Louisville, KY and has the professional credentials of PHD. The NPI Number for Lewis Jackson is 1376138347 and holds a License No. (Kentucky).

The current practice location address for Lewis Jackson is 111 N Hubbards Ln Ste 1, Louisville, KY and can be reached out via phone at 859-475-2184.

Location: 111 N Hubbards Ln Ste 1, Louisville, KY, 40207-3902
person
Provider Profile Details
NPI Number
1376138347
Provider Name
Lewis Jackson
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
111 N Hubbards Ln Ste 1, Louisville, KY, 40207-3902
Phone Number
859-475-2184
Fax Number
Provider Enumeration Date
03/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 N Hubbards Ln Ste 1
City
State
Zip
40207-3902
Phone Number
859-475-2184
Fax Number
person
Provider Business Mailing Address Details
Address
111 N Hubbards Ln Ste 1
City
State
Zip
40207-3902
Phone Number
859-475-2184
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
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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