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DR. KETEVAN GENDZEKHADZE PHD
NPI 1265700660
Pathology - Clinical Laboratory Director, Non-physician in Duarte, CA

Active since December 13, 2011
1500 DUARTE RD, DUARTE, CA 91010(626) 256-8621 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ketevan Gendzekhadze Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KETEVAN GENDZEKHADZE PHD (NPI 1265700660) is an individual clinical laboratory director, non-physician in Duarte, California, licensed in California (DRK38) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1265700660
Entity TypeIndividualFemale
Primary Taxonomy247ZC0005X
Provider Legal NameDR. KETEVAN GENDZEKHADZECredential: PHD
Location Address1500 DUARTE RDDuarte, CA 91010-3012
Mailing Address1817 2nd St Apt 26Duarte, CA 91010-1822 · (626) 251-7030
Phone(626) 256-8621
Sole ProprietorYes
Enumeration DateDecember 13, 2011
✔ NPI 1265700660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
License✔ Licensed in CA · DRK38
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.
1500 DUARTE RD, Duarte, CA 91010
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SASAN FAZELI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 256-4673
SKAI MINDY FU PHARMD
Pharmacist
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 500-5461
JIMMIE WONG MD
Radiology (Diagnostic Radiology)
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 359-8111
TERENCE WILLIAMS M.D.
Radiology (Radiation Oncology)
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 256-4673
DR. MUSTAFA RAOOF M.D.
Surgery (Surgical Oncology)
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 256-4673
DR. EDNA CLOGG SHENVI M.D.
Surgery
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 256-4673
ALAN CHEN TANG M.D.
Anesthesiology
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 359-8111
WINSTON YUHSIEN LEE MD, PHD
Pathology (Hematology)
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 256-4673

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketevan Gendzekhadze's NPI number?

The NPI number for Ketevan Gendzekhadze is 1265700660. It was assigned to this individual provider in the NPPES registry on December 13, 2011.

Where is Ketevan Gendzekhadze located?

Ketevan Gendzekhadze practices at 1500 Duarte Rd, Duarte, CA 91010. The listed phone number is (626) 256-8621.

What is Ketevan Gendzekhadze's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Ketevan Gendzekhadze was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.