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Andy Madoyan
Clinical Laboratory Director (Non-physician) in Pasadena, California
NPI 1811492028

Andy Madoyan is a Clinical Laboratory Director (Non-physician) based in Pasadena, CA and is specialized in Clinical Laboratory Director, Non-physician. Andy Madoyan practices in Pasadena, CA. The NPI Number for Andy Madoyan is 1811492028 and holds a License No. 05D2145028 (California).

The current practice location address for Andy Madoyan is 1737 E Washington Blvd Ste 5, Pasadena, CA and can be reached out via phone at 626-314-2222 and via fax at 626-314-2224.

Location: 1737 E Washington Blvd Ste 5, Pasadena, CA, 91104-2772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811492028
Provider Name
Andy Madoyan
Credential
Provider Entity Type
Individual
Gender
Male
Address
1737 E Washington Blvd Ste 5, Pasadena, CA, 91104-2772
Phone Number
626-314-2222
Fax Number
626-314-2224
Provider Enumeration Date
03/28/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C6236693 01 CA DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
1737 E Washington Blvd Ste 5
City
Pasadena
State
California
Zip
91104-2772
Phone Number
626-314-2222
Fax Number
626-314-2224
person
Provider Business Mailing Address Details
Address
1737 E Washington Blvd Ste 5
City
Pasadena
State
California
Zip
91104-2772
Phone Number
626-314-2222
Fax Number
626-314-2224
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.
05D2145028 (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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