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Kanisha Graham
Clinical Laboratory Director (Non-physician) in Fort Myers, Florida
NPI 1639817471

Kanisha Graham is a Clinical Laboratory Director (Non-physician) based in Fort Myers, FL and is specialized in Clinical Laboratory Director, Non-physician. Kanisha Graham practices in Fort Myers, FL. The NPI Number for Kanisha Graham is 1639817471 and holds a License No. (Florida).

The current practice location address for Kanisha Graham is 6237 Presidential Ct Ste 140, Fort Myers, FL and can be reached out via phone at 877-202-3530 and via fax at 877-772-5877.

Location: 6237 Presidential Ct Ste 140, Fort Myers, FL, 33919-3508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639817471
Provider Name
Kanisha Graham
Credential
Provider Entity Type
Individual
Gender
Female
Address
6237 Presidential Ct Ste 140, Fort Myers, FL, 33919-3508
Phone Number
877-202-3530
Fax Number
877-772-5877
Provider Enumeration Date
05/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6237 Presidential Ct Ste 140
City
Fort Myers
State
Florida
Zip
33919-3508
Phone Number
877-202-3530
Fax Number
877-772-5877
person
Provider Business Mailing Address Details
Address
6237 Presidential Ct Ste 140
City
Fort Myers
State
Florida
Zip
33919-3508
Phone Number
877-202-3530
Fax Number
877-772-5877
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.
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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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