JEFF WATERS – NPI #1114326691
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.

JEFF WATERS is a pathology technician located in MISSOULA, MT. NPPES has assigned the NPI number 1114326691 to JEFF WATERS on August 20, 2014. 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

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 JEFF WATERS below.

NPI Profile for
JEFF WATERS

NPI Number
1114326691
Enumeration Date

(about 12 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEFF WATERS
Primary location
2809 GREAT NORTHERN LOOP
#200
MISSOULA, MT 59808-1749
Phone: (406) 830-0680 Fax:
Mailing address
4265 MUGGLE LN
MISSOULA, MT 59808-5200
Phone: (406) 830-0680 Fax:
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.