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ANTHONY BUTCH PHD
NPI 1972045110
Pathology - Clinical Laboratory Director, Non-physician in Los Angeles, CA

Active since November 04, 2016
2122 GRANVILLE AVE, LOS ANGELES, CA 90095(310) 312-1509(310) 206-9077 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anthony Butch Phd NPPES

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

ANTHONY BUTCH PHD (NPI 1972045110) is an individual clinical laboratory director, non-physician in Los Angeles, California, licensed in California (DRH 091) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1972045110
Entity TypeIndividualMale
Primary Taxonomy247ZC0005X
Provider Legal NameANTHONY BUTCHCredential: PHD
Location Address2122 GRANVILLE AVELos Angeles, CA 90095-6106
Mailing Address2122 Granville AveLos Angeles, CA 90095-6106 · (310) 312-1509 · Fax (310) 206-9077
Phone(310) 312-1509
Fax(310) 206-9077
Sole ProprietorYes
Enumeration DateNovember 4, 2016
✔ NPI 1972045110 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 · DRH 091
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.
2122 GRANVILLE AVE, Los Angeles, CA 90095
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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 Anthony Butch's NPI number?

The NPI number for Anthony Butch is 1972045110. It was assigned to this individual provider in the NPPES registry on November 4, 2016.

Where is Anthony Butch located?

Anthony Butch practices at 2122 Granville Ave, Los Angeles, CA 90095. The listed phone number is (310) 312-1509.

What is Anthony Butch'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 Anthony Butch was last updated on November 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.