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Olisha Chaquetta Thompson
Clinical Laboratory Director (Non-physician) in Kingstree, South Carolina
NPI 1700664877

Olisha Chaquetta Thompson is a Clinical Laboratory Director (Non-physician) based in Kingstree, SC and is specialized in Clinical Laboratory Director, Non-physician. Olisha Chaquetta Thompson practices in Kingstree, SC. The NPI Number for Olisha Chaquetta Thompson is 1700664877 and holds a License No. (South Carolina).

The current practice location address for Olisha Chaquetta Thompson is 112 W Main St, Kingstree, SC and can be reached out via phone at 843-624-8245.

Location: 112 W Main St, Kingstree, SC, 29556-9781
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700664877
Provider Name
Olisha Chaquetta Thompson
Credential
Provider Entity Type
Individual
Gender
Female
Address
112 W Main St, Kingstree, SC, 29556-9781
Phone Number
843-624-8245
Fax Number
Provider Enumeration Date
09/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
112 W Main St
City
Kingstree
State
South Carolina
Zip
29556-3344
Phone Number
843-624-8245
Fax Number
person
Provider Business Mailing Address Details
Address
112 W Main St
City
Kingstree
State
South Carolina
Zip
29556-3344
Phone Number
843-624-8245
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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