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Dr. Ketevan Gendzekhadze, PHD
Clinical Laboratory Director (Non-physician) in Duarte, California
NPI 1265700660

Ketevan Gendzekhadze is a Clinical Laboratory Director (Non-physician) based in Duarte, CA and is specialized in Clinical Laboratory Director, Non-physician. Ketevan Gendzekhadze practices in Duarte, CA and has the professional credentials of PHD. The NPI Number for Ketevan Gendzekhadze is 1265700660 and holds a License No. DRK38 (California).

The current practice location address for Ketevan Gendzekhadze is 1500 Duarte Rd, Duarte, CA and can be reached out via phone at 626-256-8621.

Location: 1500 Duarte Rd, Duarte, CA, 91010-1822
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Provider Profile Details
NPI Number
1265700660
Provider Name
Ketevan Gendzekhadze
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1500 Duarte Rd, Duarte, CA, 91010-1822
Phone Number
626-256-8621
Fax Number
Provider Enumeration Date
12/13/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 Duarte Rd
City
State
Zip
91010-3012
Phone Number
626-256-8621
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Duarte Rd
City
State
Zip
91010-3012
Phone Number
626-256-8621
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
DRK38 (California)
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.
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