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Shawn Desai
Clinical Laboratory Director (Non-physician) in Syracuse, New York
NPI 1962175877

Shawn Desai is a Clinical Laboratory Director (Non-physician) based in Ellicottville, NY and is specialized in Clinical Laboratory Director, Non-physician. Shawn Desai practices in Syracuse, NY. The NPI Number for Shawn Desai is 1962175877 and holds a License No. (New York).

The current practice location address for Shawn Desai is 961 Canal St, Syracuse, NY and can be reached out via phone at 315-454-6000 and via fax at 315-428-9223. You can also correspond with Shawn Desai through the mailing address at PO BOX 500, ELLICOTTVILLE, NY - 14731-0500 (mailing address contact number: 716-699-9032).

Location: 961 Canal St, Syracuse, NY, 14731-0500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962175877
Provider Name
Shawn Desai
Credential
Provider Entity Type
Individual
Gender
Male
Address
961 Canal St, Syracuse, NY, 14731-0500
Phone Number
315-454-6000
Fax Number
315-428-9223
Provider Enumeration Date
07/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
961 Canal St
City
Syracuse
State
New York
Zip
13210-1203
Phone Number
315-454-6000
Fax Number
315-428-9223
person
Provider Business Mailing Address Details
Address
961 Canal St
City
Syracuse
State
New York
Zip
13210-1203
Phone Number
315-454-6000
Fax Number
315-428-9223
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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