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Sandra Thompson, CLP-202351-LAB
Clinical Laboratory Director (Non-physician) in Bastrop, Louisiana
NPI 1588336879

Sandra Thompson is a Clinical Laboratory Director (Non-physician) based in Bastrop, LA and is specialized in Clinical Laboratory Director, Non-physician. Sandra Thompson practices in Bastrop, LA and has the professional credentials of CLP-202351-LAB. The NPI Number for Sandra Thompson is 1588336879 and holds a License No. CLP-202351-LAB (Louisiana).

The current practice location address for Sandra Thompson is 6161 Polaris Dr, Bastrop, LA and can be reached out via phone at 318-282-4757.

Location: 6161 Polaris Dr, Bastrop, LA, 71220-3476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588336879
Provider Name
Sandra Thompson
Credential
CLP-202351-LAB
Provider Entity Type
Individual
Gender
Female
Address
6161 Polaris Dr, Bastrop, LA, 71220-3476
Phone Number
318-282-4757
Fax Number
Provider Enumeration Date
10/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87-2920548 05 LA
institution
Provider Business Practice Location Address Details
Address
6161 Polaris Dr
City
Bastrop
State
Louisiana
Zip
71220-3476
Phone Number
318-282-4757
Fax Number
person
Provider Business Mailing Address Details
Address
6161 Polaris Dr
City
Bastrop
State
Louisiana
Zip
71220-3476
Phone Number
318-282-4757
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.
CLP-202351-LAB (Louisiana)
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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