Individual provider · Type 1 NPI

Crystal Edge Johnson

Clinical Medical Laboratory · Orlando, FL

NPI number 1891649448 Active

Practice location

860 N Orange Ave
Orlando, FL 32801-1027

Mailing address

305 W Poplar St
San Antonio, TX 78212-5582

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000XNone listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1891649448

Crystal Edge Johnson's National Provider Identifier is 1891649448, issued on Feb 23, 2026. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Orlando, FL. The record was last updated on Feb 23, 2026.