Anthony Butch
Pathology (Clinical Laboratory Director, Non-physician)

Address: 2122 Granville Ave, Los Angeles, CA 90095-6106
Phone: 3103121509

Anthony Butch (NPI# 1972045110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1972045110
Entity Type Individual
Full Name Anthony Butch
Credential PHD
Gender Male
Practice Address 2122 Granville Ave
Los Angeles
CA 90095-6106
Practice Telephone 3103121509
Practice Fax Number 3102069077
Mailing Address 2122 Granville Ave
Los Angeles
CA 90095-6106
Mailing Telephone 3103121509
Mailing Fax Number 3102069077
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2016-11-04
Last Update Date 2016-11-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 247ZC0005X Pathology · Clinical Laboratory Director, Non-physician Technologists, Technicians & Other Technical Service Providers DRH 091 CA

Taxonomy Information

Taxonomy Code 247ZC0005X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Pathology
Specialization Clinical Laboratory Director, Non-physician

Taxonomy 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.
Notes: Source: National Uniform Claim Committee [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992366843 Tharanga Niroshini Senaratne Pathology 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2019-06-21
1386962884 Gordana Raca Pathology 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2010-05-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265036610 Micronoma Inc. Pathology 6342 Ferris Sq, San Diego, CA 92121-3207 2020-11-25
1366045601 Rapid Diagnostics Bio Labs Pathology 16485 Laguna Canyon Rd Ste 125, Irvine, CA 92618-3837 2020-11-19
1851915888 Pangea Laboratory LLC Pathology 3189 Red Hill Ave Ste D, Costa Mesa, CA 92626-3426 2020-06-05
1851913354 The Laab LLC Pathology 664b W Broadway, Glendale, CA 91204-1008 2020-05-07
1811492028 Andy Madoyan Pathology 1737 E Washington Blvd Ste 5, Pasadena, CA 91104-2772 2018-03-28
1730589102 Dale Ann Schwab Pathology 5785 Corporate Ave, Cypress, CA 90630-4726 2014-09-03
1205494218 Jack Ji Pathology 180 Kimball Way, South San Francisco, CA 94080-6218 2019-06-04
1831753839 Daniel Yue-king Chan Pathology 430 S Cataract Ave, San Dimas, CA 91773-2902 2019-04-24
1265700660 Ketevan Gendzekhadze Pathology 1500 Duarte Rd, Duarte, CA 91010-3012 2011-12-13
1811295165 Athena M Cherry Pathology 3375 Hillview Ave, Room 2809, Palo Alto, CA 94304-1204 2011-03-10
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Office Location

Street Address 2122 GRANVILLE AVE
City LOS ANGELES
State CA
Zip Code 90095-6106

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982212155 Alexandra Gubin Social Worker Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 2020-07-14
1952926263 Georgina Parra Student in an Organized Health Care Education/Training Program 10833 Le Conteave, Los Angeles, CA 90095 2020-06-11
1609403575 Yagmur Muftuoglu Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 2020-03-23
1619438173 Brandon Covington Smith Student in an Organized Health Care Education/Training Program 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 2019-03-27
1184184913 Alexander Daniel Yuen Student in an Organized Health Care Education/Training Program 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 2019-03-19
1790266369 Dana Saifan Student in an Organized Health Care Education/Training Program 1000 Veteran Avenue, Los Angeles, CA 90095 2018-08-22
1427549146 Courtney Renee' Real Registered Nurse 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 2018-05-29
1932605094 Akash Atul Shah Student in an Organized Health Care Education/Training Program Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 2018-04-05
1316443435 Dane Jensen Brodke Orthopaedic Surgery 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 2018-04-05
1477058824 Thomas William Gaither Castellanos Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Urology, Los Angeles, CA 90095 2018-03-28
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Competitor

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City LOS ANGELES
Zip Code 90095

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.