KETEVAN GENDZEKHADZE PHD – NPI #1265700660
Technician, Pathology
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.
KETEVAN GENDZEKHADZE is a pathology technician located in DUARTE, CA. NPPES has assigned the NPI number 1265700660 to KETEVAN GENDZEKHADZE on December 13, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 247ZC0005X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Clinical Laboratory Director, Non-physician
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KETEVAN GENDZEKHADZE below.
NPI Profile for
KETEVAN GENDZEKHADZE
(more than 14 years ago)
DUARTE, CA 91010-3012 Phone: (626) 256-8621 Fax:
DUARTE, CA 91010-1822 Phone: (626) 251-7030 Fax:
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 247ZC0005X - Technician, Pathology / Clinical Laboratory Director, Non-physician (Primary) |
CA | DRK38 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.