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 261QC1500X
Technician, Pathology
Definition to come...
taxonomy 246RP1900X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Leverage Labs LLC
Type code 3recorded 2021-05-25
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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