WILLIAM R. WOODRUFF – NPI #1053514554
Technician, Pathology

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.

WILLIAM WOODRUFF is a pathology technician located in LOWER BRULE, SD. NPPES has assigned the NPI number 1053514554 to WILLIAM WOODRUFF on June 11, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 247ZC0005X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Clinical Laboratory Director, Non-physician

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILLIAM WOODRUFF below.

NPI Profile for
WILLIAM R. WOODRUFF

NPI Number
1053514554
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WILLIAM R. WOODRUFF
Primary location
601 GALL STREET
LOWER BRULE, SD 57548-0248
Phone: (605) 473-8246 Fax: (605) 473-0607
Mailing address
PO BOX 248
LOWER BRULE, SD 57548-0248
Phone: (605) 473-8246 Fax: (605) 473-0607
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
247ZC0005X
- Technician, Pathology / Clinical Laboratory Director, Non-physician (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.