NANDA ABIGAIL NUNNELLY-SPARKS LAB DIRECTOR
NPI 1750039814
Pathology - Clinical Laboratory Director, Non-physician in Joplin, MO

Active since March 16, 2022
407 S PENNSYLVANIA AVE STE 202, JOPLIN, MO 64801(417) 362-6398 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nanda Abigail Nunnelly-sparks Lab Director NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NANDA ABIGAIL NUNNELLY-SPARKS LAB DIRECTOR (NPI 1750039814) is an individual clinical laboratory director, non-physician in Joplin, Missouri, licensed in Missouri (26D2227808) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1750039814
Entity TypeIndividualFemale
Primary Taxonomy247ZC0005X
Provider Legal NameNANDA ABIGAIL NUNNELLY-SPARKSCredential: LAB DIRECTOR
Location Address407 S PENNSYLVANIA AVE STE 202Joplin, MO 64801-2281
Mailing Address407 S Pennsylvania Ave Ste 202Joplin, MO 64801-2281 · (417) 499-1525
Sole ProprietorNo
Enumeration DateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
NPI 1750039814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
License Licensed in MO · 26D2227808
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.

407 S PENNSYLVANIA AVE STE 202, Joplin, MO 64801

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
407 S PENNSYLVANIA AVE STE 202
JOPLIN, MO 64801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750039814, enumerated as an "individual" on March 16, 2022.

The provider is located at 407 S PENNSYLVANIA AVE STE 202 JOPLIN, MO 64801 and the phone number is (417) 362-6398.

Pathology with taxonomy code 247ZC0005X and a focus in Clinical Laboratory Director, Non-physician.