Citrus Path LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CITRUS PATH LLC

Practice address

255 SE 7TH Ave Ste 1
Crystal River, FL 34429-4848

Phone

(352) 794-6385

NPI assigned

May 10, 2021

Last updated

May 10, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandie UnderwoodNPI 1538645122

Title

Owner

Phone

(352) 302-2223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandie Underwood

  • Clinical Laboratory Director (Non-physician)
  • Crystal River, FL
  • NPI 1538645122
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1255915914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SE 7TH AVE STE 1",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294848",
            "telephone_number": "352-794-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SE 7TH AVE STE 1",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294848",
            "telephone_number": "352-794-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS PATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "BRANDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-302-2223"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citrus Medical Supplies, Inc
• Citrus Multi Care LLC (Citrus Care Clinic LLC)
• Citrus Nephrology Associates Inc
• Citrus Oral and Facial Surgery at Ocala, LLC
• Citrus Oral and Maxillofacial Surgery PA
• Citrus Pest Management Inc.
• Citrus Rehabilitation
• Citrus Spine Institute LLC
• Jerillyn Marie Clark
• Robert A Clark, MD

• Clinical Medical Laboratory in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.