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Dr. John Roger Petersen, PHD
Clinical Laboratory Director (Non-physician) in Galveston, Texas
NPI 1841587854

John Roger Petersen is a Clinical Laboratory Director (Non-physician) based in Galveston, TX and is specialized in Clinical Laboratory Director, Non-physician. John Roger Petersen practices in Galveston, TX and has the professional credentials of PHD. The NPI Number for John Roger Petersen is 1841587854 and holds a License No. (Texas).

The current practice location address for John Roger Petersen is 301 University Blvd, Galveston, TX and can be reached out via phone at 409-772-1350 and via fax at 409-772-9231.

Location: 301 University Blvd, Galveston, TX, 77555-0551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841587854
Provider Name
John Roger Petersen
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
301 University Blvd, Galveston, TX, 77555-0551
Phone Number
409-772-1350
Fax Number
409-772-9231
Provider Enumeration Date
06/29/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 University Blvd
City
Galveston
State
Texas
Zip
77555-0551
Phone Number
409-772-1350
Fax Number
409-772-9231
person
Provider Business Mailing Address Details
Address
301 University Blvd
City
Galveston
State
Texas
Zip
77555-0551
Phone Number
409-772-1350
Fax Number
409-772-9231
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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