DOVILE NAZAREVYCH
NPI 1366194227
Pathology - Clinical Laboratory Director, Non-physician in Plymouth, MN

Active since January 21, 2022
2205 W MEDICINE LAKE DR, PLYMOUTH, MN 55441(612) 707-1660 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dovile Nazarevych NPPES

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

DOVILE NAZAREVYCH (NPI 1366194227) is an individual clinical laboratory director, non-physician in Plymouth, Minnesota and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1366194227
Entity TypeIndividualFemale
Primary Taxonomy247ZC0005X
Provider Legal NameDOVILE NAZAREVYCH
Location Address2205 W MEDICINE LAKE DRPlymouth, MN 55441-4142
Mailing Address2205 W Medicine Lake DrPlymouth, MN 55441-4142 · (612) 707-1660
Sole ProprietorYes
Enumeration DateJanuary 21, 2022
NPPES CertifiedJanuary 21, 2022
NPI 1366194227 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
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.
2205 W MEDICINE LAKE DR, Plymouth, MN 55441

Other Identifiers 1

Other24D2245122MN · Cms, Clia Number

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 Dovile Nazarevych's NPI number?

The NPI number for Dovile Nazarevych is 1366194227. It was assigned to this individual provider in the NPPES registry on January 21, 2022.

Where is Dovile Nazarevych located?

Dovile Nazarevych practices at 2205 W Medicine Lake Dr, Plymouth, MN 55441. The listed phone number is (612) 707-1660.

What is Dovile Nazarevych'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 Dovile Nazarevych was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.