MAJID MORIDANI NPI 1003245937

NPI Information

Majid Moridani is a clinical laboratory director and non-physician pathology in Milwaukee, WI. The provider is 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. Majid Moridani NPI is 1003245937. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2564 N 124TH ST # 412
PRUDENT DIAGNOSTICS LABORATORIES
MILWAUKEE, WI
ZIP 53226-050
Phone: (414) 949-1355

The enumeration date for this NPI number is 11/1/2013 and was last updated on 12/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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