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Nanda Abigail Nunnelly-sparks, LABDIRECTOR
Clinical Laboratory Director (Non-physician) in Joplin, Missouri
NPI 1750039814

Nanda Abigail Nunnelly-sparks is a Clinical Laboratory Director (Non-physician) based in Joplin, MO and is specialized in Clinical Laboratory Director, Non-physician. Nanda Abigail Nunnelly-sparks practices in Joplin, MO and has the professional credentials of LABDIRECTOR. The NPI Number for Nanda Abigail Nunnelly-sparks is 1750039814 and holds a License No. 26D2227808 (Missouri).

The current practice location address for Nanda Abigail Nunnelly-sparks is 407 S Pennsylvania Ave Ste 202, Joplin, MO and can be reached out via phone at 417-362-6398.

Location: 407 S Pennsylvania Ave Ste 202, Joplin, MO, 64801-2281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750039814
Provider Name
Nanda Abigail Nunnelly-sparks
Credential
LABDIRECTOR
Provider Entity Type
Individual
Gender
Female
Address
407 S Pennsylvania Ave Ste 202, Joplin, MO, 64801-2281
Phone Number
417-362-6398
Fax Number
Provider Enumeration Date
03/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
407 S Pennsylvania Ave Ste 202
City
Joplin
State
Missouri
Zip
64801-2281
Phone Number
417-362-6398
Fax Number
person
Provider Business Mailing Address Details
Address
407 S Pennsylvania Ave Ste 202
City
Joplin
State
Missouri
Zip
64801-2281
Phone Number
417-362-6398
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.
26D2227808 (Missouri)
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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