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Tina Lyvette Johnson
Clinical Laboratory Director (Non-physician) in Crosby, Texas
NPI 1770276867

Tina Lyvette Johnson is a Clinical Laboratory Director (Non-physician) based in Crosby, TX and is specialized in Clinical Laboratory Director, Non-physician. Tina Lyvette Johnson practices in Crosby, TX. The NPI Number for Tina Lyvette Johnson is 1770276867 and holds a License No. (Texas).

The current practice location address for Tina Lyvette Johnson is 16023 Broadwater Dr, Crosby, TX and can be reached out via phone at 832-227-9787.

Location: 16023 Broadwater Dr, Crosby, TX, 77532-5328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770276867
Provider Name
Tina Lyvette Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
16023 Broadwater Dr, Crosby, TX, 77532-5328
Phone Number
832-227-9787
Fax Number
Provider Enumeration Date
06/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16023 Broadwater Dr
City
Crosby
State
Texas
Zip
77532-5328
Phone Number
832-227-9787
Fax Number
person
Provider Business Mailing Address Details
Address
16023 Broadwater Dr
City
Crosby
State
Texas
Zip
77532-5328
Phone Number
832-227-9787
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.
()
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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