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Destined For Greatness
Clinical Laboratory Director (Non-physician) in Ripley, Tennessee
NPI 1790493336

Destined For Greatness is a Clinical Laboratory Director (Non-physician) based in Ripley, TN and is specialized in Clinical Laboratory Director, Non-physician. Destined For Greatness practices in Ripley, TN. The NPI Number for Destined For Greatness is 1790493336 and holds a License No. (Tennessee).

The current practice location address for Destined For Greatness is 274 Volz Ave, Ripley, TN and can be reached out via phone at 731-671-8273.

Location: 274 Volz Ave, Ripley, TN, 38063-2078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790493336
Provider Name
Destined For Greatness
Credential
Provider Entity Type
Organization
Address
274 Volz Ave, Ripley, TN, 38063-2078
Phone Number
731-671-8273
Fax Number
Provider Enumeration Date
11/14/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
274 Volz Ave
City
Ripley
State
Tennessee
Zip
38063-2078
Phone Number
731-671-8273
Fax Number
person
Provider Business Mailing Address Details
Address
274 Volz Ave
City
Ripley
State
Tennessee
Zip
38063-2078
Phone Number
731-671-8273
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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