Peter Dereva
Peter Dereva is a Clinical Medical Laboratory in Nashville, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2000 Glen Echo Rd Ste 105Nashville, TN 37215-2857
Phone: (214) 687-2392
Fax: (214) 602-7003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X |
|---|
Record details
| NPI number | 1588283063 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2020 |
| Last updated in NPPES | April 14, 2020 |
| Certification date | April 14, 2020 |
| Mailing address | 2845 Cascade Cove Dr, Little Elm, TX 75068-7607 |
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