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Damodara Rao Mendu, PHD
Clinical Laboratory Director (Non-physician) in Ft Lauderdale, Florida
NPI 1396115630

Damodara Rao Mendu is a Clinical Laboratory Director (Non-physician) based in Hollywood, FL and is specialized in Clinical Laboratory Director, Non-physician. Damodara Rao Mendu practices in Ft Lauderdale, FL and has the professional credentials of PHD. The NPI Number for Damodara Rao Mendu is 1396115630 and holds a License No. DI46724 (Florida).

The current practice location address for Damodara Rao Mendu is 6555 Nw 9Th Ave, Ft Lauderdale, FL and can be reached out via phone at 954-925-6533.

Location: 6555 Nw 9Th Ave, Ft Lauderdale, FL, 33020-2714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396115630
Provider Name
Damodara Rao Mendu
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
6555 Nw 9Th Ave, Ft Lauderdale, FL, 33020-2714
Phone Number
954-925-6533
Fax Number
Provider Enumeration Date
09/29/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DI46724 01 FL FLORIDA LICENSE
institution
Provider Business Practice Location Address Details
Address
6555 Nw 9Th Ave
City
Ft Lauderdale
State
Florida
Zip
33309-2067
Phone Number
954-925-6533
Fax Number
person
Provider Business Mailing Address Details
Address
6555 Nw 9Th Ave
City
Ft Lauderdale
State
Florida
Zip
33309-2067
Phone Number
954-925-6533
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
DI46724 (Florida)
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.
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