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Dr. Prabakaran Paulraj, PHD
Clinical Laboratory Director (Non-physician) in Glendale, Arizona
NPI 1508299173

Prabakaran Paulraj is a Clinical Laboratory Director (Non-physician) based in Glendale, AZ and is specialized in Clinical Laboratory Director, Non-physician. Prabakaran Paulraj practices in Glendale, AZ and has the professional credentials of PHD. The NPI Number for Prabakaran Paulraj is 1508299173 and holds a License No. (Arizona).

The current practice location address for Prabakaran Paulraj is 21105 N 71St Dr, Glendale, AZ and can be reached out via phone at 623-523-3078. You can also correspond with Prabakaran Paulraj through the mailing address at 21105 N 71ST DR, GLENDALE, AZ - 85308-9566 (mailing address contact number: 623-523-3078).

Location: 21105 N 71St Dr, Glendale, AZ, 85308-9566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508299173
Provider Name
Prabakaran Paulraj
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
21105 N 71St Dr, Glendale, AZ, 85308-9566
Phone Number
623-523-3078
Fax Number
Provider Enumeration Date
08/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21105 N 71St Dr
City
Glendale
State
Arizona
Zip
85308-9566
Phone Number
623-523-3078
Fax Number
person
Provider Business Mailing Address Details
Address
21105 N 71St Dr
City
Glendale
State
Arizona
Zip
85308-9566
Phone Number
623-523-3078
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.
()
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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