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

TaxonomyCodeLicense
Clinical Laboratory Director (Non-physician) Primary 247ZC0005XNone 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.