CMS-1500 Box 24J / 33a • NPI
1881526374
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
246QL0900X
Licensed & Credentialed Spec/Tech, Pathology, Laboratory Management
Box 32 Service Location & ZIP+4
4039 NEWBERRY RD, GAINESVILLE, FL, 32607-2342
✓ 9-Digit EDI 837 ZIP+4 (32607-2342)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1881526374 (KELLY ANDERSON, MLS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1881526374 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KELLY ANDERSON, MLS |
| Plain-English Specialty | Licensed & Credentialed Spec/Tech, Pathology, Laboratory Management NUCC Code: 246QL0900X (Spec/Tech, Pathology, Laboratory Management) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4039 NEWBERRY RD, GAINESVILLE, FL, 32607-2342 |
| Practice Telephone / Fax | Tel: (352) 224-1600 |
| Administrative Mailing Address | 14619 NW 21ST PL, NEWBERRY, FL, 32669-2041 |
| Enumeration & Last Sync | Enumerated: 2026-06-01 | CMS Record Updated: 2026-06-01 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (246QL0900X)
What Does Taxonomy Code 246QL0900X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 246QL0900X translates to:
"Licensed & Credentialed Spec/Tech, Pathology, Laboratory Management"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KELLY ANDERSON, MLS)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
246QL0900X — Spec/Tech, Pathology, Laboratory ManagementPlain English: Licensed & Credentialed Spec/Tech, Pathology, Laboratory Management | State: FL | License: SU44843 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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