person
Anthony Butch, PHD
Clinical Laboratory Director (Non-physician) in Los Angeles, California
NPI 1972045110

Anthony Butch is a Clinical Laboratory Director (Non-physician) based in Los Angeles, CA and is specialized in Clinical Laboratory Director, Non-physician. Anthony Butch practices in Los Angeles, CA and has the professional credentials of PHD. The NPI Number for Anthony Butch is 1972045110 and holds a License No. DRH 091 (California).

The current practice location address for Anthony Butch is 2122 Granville Ave, Los Angeles, CA and can be reached out via phone at 310-312-1509 and via fax at 310-206-9077.

Location: 2122 Granville Ave, Los Angeles, CA, 90095-6106
person
Provider Profile Details
NPI Number
1972045110
Provider Name
Anthony Butch
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2122 Granville Ave, Los Angeles, CA, 90095-6106
Phone Number
310-312-1509
Fax Number
310-206-9077
Provider Enumeration Date
11/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2122 Granville Ave
City
State
Zip
90095-6106
Phone Number
310-312-1509
Fax Number
310-206-9077
person
Provider Business Mailing Address Details
Address
2122 Granville Ave
City
State
Zip
90095-6106
Phone Number
310-312-1509
Fax Number
310-206-9077
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
DRH 091 (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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