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Aesthetic Luxury Spa Llc
Clinical Laboratory Director (Non-physician) in Kansas City, Missouri
NPI 1518611904

Aesthetic Luxury Spa Llc is a Clinical Laboratory Director (Non-physician) based in Independence, MO and is specialized in Clinical Laboratory Director, Non-physician. Aesthetic Luxury Spa Llc practices in Kansas City, MO. The NPI Number for Aesthetic Luxury Spa Llc is 1518611904 and holds a License No. (Missouri).

The current practice location address for Aesthetic Luxury Spa Llc is 2321 Troost Ave Ste 101, Kansas City, MO and can be reached out via phone at 816-200-2409 and via fax at 816-320-0028.

Location: 2321 Troost Ave Ste 101, Kansas City, MO, 64055-6437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518611904
Provider Name
Aesthetic Luxury Spa Llc
Credential
Provider Entity Type
Organization
Address
2321 Troost Ave Ste 101, Kansas City, MO, 64055-6437
Phone Number
816-200-2409
Fax Number
816-320-0028
Provider Enumeration Date
02/05/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
863097642 05 MO
institution
Provider Business Practice Location Address Details
Address
2321 Troost Ave Ste 101
City
Kansas City
State
Missouri
Zip
64108-2834
Phone Number
816-200-2409
Fax Number
816-320-0028
person
Provider Business Mailing Address Details
Address
2321 Troost Ave Ste 101
City
Kansas City
State
Missouri
Zip
64108-2834
Phone Number
816-200-2409
Fax Number
816-320-0028
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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