person
Shasha Letrice Brooks, MEDICALASSISTANT
Clinical Laboratory Director (Non-physician) in Merrillville, Indiana
NPI 1689456758

Shasha Letrice Brooks is a Clinical Laboratory Director (Non-physician) based in Merrillville, IN and is specialized in Clinical Laboratory Director, Non-physician. Shasha Letrice Brooks practices in Merrillville, IN and has the professional credentials of MEDICALASSISTANT. The NPI Number for Shasha Letrice Brooks is 1689456758 and holds a License No. (Indiana).

The current practice location address for Shasha Letrice Brooks is 5490 Broadway Ste L-6, Merrillville, IN and can be reached out via phone at 219-779-8893 and via fax at 219-874-1682.

Location: 5490 Broadway Ste L-6, Merrillville, IN, 46410-2657
person
Provider Profile Details
NPI Number
1689456758
Provider Name
Shasha Letrice Brooks
Credential
MEDICALASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
5490 Broadway Ste L-6, Merrillville, IN, 46410-2657
Phone Number
219-779-8893
Fax Number
219-874-1682
Provider Enumeration Date
10/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5490 Broadway Ste L-6
City
State
Zip
46410-1663
Phone Number
219-779-8893
Fax Number
219-874-1682
person
Provider Business Mailing Address Details
Address
5490 Broadway Ste L-6
City
State
Zip
46410-1663
Phone Number
219-779-8893
Fax Number
219-874-1682
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
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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