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.
taxonomy 247ZC0005X
Clinic/Center
Definition to come...
taxonomy 261QH0100X
Clinic/Center
Definition to come...
taxonomy 261QI0500X
Clinic/Center
Definition to come...
taxonomy 261QM0801X
Clinic/Center
Definition to come...
taxonomy 261QC1500X
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
taxonomy 261QM0850X
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
taxonomy 261QM0855X
Point of Service
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
taxonomy 305S00000X
Identifiers
Type
Value
Notes
01 (TX)
1114264199
INDIVIDUAL NPI
05 (TX)
336552
Practice context
Multi-site organization.
1 additional practice location on file.
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