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NPI Profile for DARLENE GORDON in SAVANNAH, GA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory |
| NPI # | 1184221376 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/01/2020 | |
| Last updated | 10/01/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DARLENE GORDON
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DARLENE GORDON