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Dovile Nazarevych
Clinical Laboratory Director (Non-physician) in Plymouth, Minnesota
NPI 1366194227

Dovile Nazarevych is a Clinical Laboratory Director (Non-physician) based in Plymouth, MN and is specialized in Clinical Laboratory Director, Non-physician. Dovile Nazarevych practices in Plymouth, MN. The NPI Number for Dovile Nazarevych is 1366194227 and holds a License No. (Minnesota).

The current practice location address for Dovile Nazarevych is 2205 W Medicine Lake Dr, Plymouth, MN and can be reached out via phone at 612-707-1660.

Location: 2205 W Medicine Lake Dr, Plymouth, MN, 55441-4142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366194227
Provider Name
Dovile Nazarevych
Credential
Provider Entity Type
Individual
Gender
Female
Address
2205 W Medicine Lake Dr, Plymouth, MN, 55441-4142
Phone Number
612-707-1660
Fax Number
Provider Enumeration Date
01/21/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
24D2245122 01 MN CMS, CLIA NUMBER
institution
Provider Business Practice Location Address Details
Address
2205 W Medicine Lake Dr
City
Plymouth
State
Minnesota
Zip
55441-4142
Phone Number
612-707-1660
Fax Number
person
Provider Business Mailing Address Details
Address
2205 W Medicine Lake Dr
City
Plymouth
State
Minnesota
Zip
55441-4142
Phone Number
612-707-1660
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
247ZC0005X
License No.
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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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