person
Mr. Alemayehu (alex) M Gebresellassie, MLT
Clinical Laboratory Director (Non-physician) in Chicago, Illinois
NPI 1588962609

Alemayehu (alex) M Gebresellassie is a Clinical Laboratory Director (Non-physician) based in Chicago, IL and is specialized in Clinical Laboratory Director, Non-physician. Alemayehu (alex) M Gebresellassie practices in Chicago, IL and has the professional credentials of MLT. The NPI Number for Alemayehu (alex) M Gebresellassie is 1588962609 and holds a License No. 14D2018991 (Illinois).

The current practice location address for Alemayehu (alex) M Gebresellassie is 845 N Michigan Ave Ste 944E, Chicago, IL and can be reached out via phone at 312-202-0328 and via fax at 312-202-0320.

Location: 845 N Michigan Ave Ste 944E, Chicago, IL, 60611-2213
person
Provider Profile Details
NPI Number
1588962609
Provider Name
Alemayehu (alex) M Gebresellassie
Credential
MLT
Provider Entity Type
Individual
Gender
Male
Address
845 N Michigan Ave Ste 944E, Chicago, IL, 60611-2213
Phone Number
312-202-0328
Fax Number
312-202-0320
Provider Enumeration Date
03/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
845 N Michigan Ave Ste 944E
City
State
Zip
60611-2213
Phone Number
312-202-0328
Fax Number
312-202-0320
person
Provider Business Mailing Address Details
Address
845 N Michigan Ave Ste 944E
City
State
Zip
60611-2213
Phone Number
312-202-0328
Fax Number
312-202-0320
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Medical Laboratory
Taxonomy
License No.
14D2018991 (Illinois)
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
License No.
14D2018991 (Illinois)
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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