DR. Nicholas M Moore, PHD is a clinical laboratory director and non-physician pathology in Chicago, IL. 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. DR. Nicholas M Moore, PHD NPI is 1073017679. 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:
1653 W CONGRESS PKWY STE 1173
CHICAGO, IL
ZIP 60612-833
Phone: (312) 942-3214
Fax: (312) 942-6787
The enumeration date for this NPI number is 3/20/2018 and was last updated on 3/20/2018.