Individual provider · Type 1 NPI
Anthony Butch, PhD
Clinical Laboratory Director (Non-physician) · Los Angeles, CA
NPI number
1972045110
Active
Practice location
2122 Granville Ave
Los Angeles, CA 90095-6106
Fax (310) 206-9077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | DRH 091 (CA) |
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 1972045110
Anthony Butch, PhD's National Provider Identifier is 1972045110, issued on Nov 4, 2016. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 4, 2016.