Individual provider · Type 1 NPI

Miranda Monroe, MCLA, CVT, ACLS, BLS

Clinical Laboratory Director (Non-physician) · Palmetto, FL

NPI number 1205517463 Active

Practice location

5281 69th St E Ste 118
Palmetto, FL 34221-9478

Fax (833) 542-3024

Specialties and licenses

TaxonomyCodeLicense
Phlebotomy Technician 246RP1900XNone listed
Clinical Laboratory Director (Non-physician) Primary 247ZC0005XNone listed

Clinical Laboratory Director (Non-physician): 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.

About NPI 1205517463

Miranda Monroe, MCLA, CVT, ACLS, BLS's National Provider Identifier is 1205517463, issued on Jul 28, 2023. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Palmetto, FL. The record was last updated on Feb 14, 2024.