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Mrs. Brandie Underwood
Clinical Laboratory Director (Non-physician) in Crystal River, Florida
NPI 1538645122

Brandie Underwood is a Clinical Laboratory Director (Non-physician) based in Crystal River, FL and is specialized in Clinical Laboratory Director, Non-physician. Brandie Underwood practices in Crystal River, FL. The NPI Number for Brandie Underwood is 1538645122 and holds a License No. 10D2151245 (Florida).

The current practice location address for Brandie Underwood is 255 Se 7Th Ave Ste 3, Crystal River, FL and can be reached out via phone at 352-302-2223.

Location: 255 Se 7Th Ave Ste 3, Crystal River, FL, 34429-4848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538645122
Provider Name
Brandie Underwood
Credential
Provider Entity Type
Individual
Gender
Female
Address
255 Se 7Th Ave Ste 3, Crystal River, FL, 34429-4848
Phone Number
352-302-2223
Fax Number
Provider Enumeration Date
07/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
255 Se 7Th Ave Ste 3
City
Crystal River
State
Florida
Zip
34429-4848
Phone Number
352-302-2223
Fax Number
person
Provider Business Mailing Address Details
Address
255 Se 7Th Ave Ste 3
City
Crystal River
State
Florida
Zip
34429-4848
Phone Number
352-302-2223
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.
10D2151245 (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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