Doctor Name: | MISS SANDRA SLAY POYNER |
NPI Number: | 1336587740 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 80859 |
Business Practice Address: | 107 H Street East Box 67 Poplar, MT - 592550067 |
Business Phone Number: | 4066531656 |
Business Fax Number: | |
Mailing Address: | Po Box 67, 107 H Street East POPLAR |
State: | MT |
Postal Code: | 592550067 |
Phone Number: | 4066531656 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2013 |
NPI Last Update Date: | 06/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247ZC0005X |
License Number: | 80859 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Pathology |
Taxonomy Specialization: | Clinical Laboratory Director, Non-physician |
Taxonomy 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. |