Individual provider · Type 1 NPI
Prabakaran Paulraj, PhD
Clinical Laboratory Director (Non-physician) · Glendale, AZ
NPI number
1508299173
Active
Practice location
21105 N 71st Dr
Glendale, AZ 85308-9566
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.
About NPI 1508299173
Prabakaran Paulraj, PhD's National Provider Identifier is 1508299173, issued on Aug 18, 2013. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Glendale, AZ. The record was last updated on Aug 18, 2013.