Individual provider · Type 1 NPI
Stephen Aubrey Raymond, MT(ASCP)
Clinical Laboratory Director (Non-physician) · Phoenix, AZ
NPI number
1205028677
Active
Practice location
4212 N 16th St
Phoenix, AZ 85016-5319
Mailing address
PO Box 31001-0698
Pasadena, CA 91110-0698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | None listed |
Clinical Laboratory Director (Non-physician): 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.
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About NPI 1205028677
Stephen Aubrey Raymond, MT(ASCP)'s National Provider Identifier is 1205028677, issued on Aug 9, 2007. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 9, 2007.