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Anthony Holmes, GED
Clinical Laboratory Director (Non-physician) in Dolton, Illinois
NPI 1588315048

Anthony Holmes is a Clinical Laboratory Director (Non-physician) based in Dolton, IL and is specialized in Clinical Laboratory Director, Non-physician. Anthony Holmes practices in Dolton, IL and has the professional credentials of GED. The NPI Number for Anthony Holmes is 1588315048 and holds a License No. (Illinois).

The current practice location address for Anthony Holmes is 14901 Cottage Grove Ave, Dolton, IL and can be reached out via phone at 312-874-2142.

Location: 14901 Cottage Grove Ave, Dolton, IL, 60419-2109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588315048
Provider Name
Anthony Holmes
Credential
GED
Provider Entity Type
Individual
Gender
Male
Address
14901 Cottage Grove Ave, Dolton, IL, 60419-2109
Phone Number
312-874-2142
Fax Number
Provider Enumeration Date
01/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14901 Cottage Grove Ave
City
Dolton
State
Illinois
Zip
60419-2109
Phone Number
312-874-2142
Fax Number
person
Provider Business Mailing Address Details
Address
14901 Cottage Grove Ave
City
Dolton
State
Illinois
Zip
60419-2109
Phone Number
312-874-2142
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.
()
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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