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Rachel Waller
Clinical Laboratory Director (Non-physician) in Aurora, Illinois
NPI 1598417057

Rachel Waller is a Clinical Laboratory Director (Non-physician) based in Aurora, IL and is specialized in Clinical Laboratory Director, Non-physician. Rachel Waller practices in Aurora, IL. The NPI Number for Rachel Waller is 1598417057 and holds a License No. 14D2249250 (Illinois).

The current practice location address for Rachel Waller is 789 Station Blvd, Aurora, IL and can be reached out via phone at 331-701-5020.

Location: 789 Station Blvd, Aurora, IL, 60504-2110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598417057
Provider Name
Rachel Waller
Credential
Provider Entity Type
Individual
Gender
Female
Address
789 Station Blvd, Aurora, IL, 60504-2110
Phone Number
331-701-5020
Fax Number
Provider Enumeration Date
01/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
789 Station Blvd
City
Aurora
State
Illinois
Zip
60504-2110
Phone Number
331-701-5020
Fax Number
person
Provider Business Mailing Address Details
Address
789 Station Blvd
City
Aurora
State
Illinois
Zip
60504-2110
Phone Number
331-701-5020
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.
14D2249250 (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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