Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAMODARA RAO MENDU PHD
NPI 1396115630
Pathology - Clinical Laboratory Director, Non-physician in Ft Lauderdale, FL

Q: What is Damodara Mendu's NPI number?

The NPI number for Damodara Mendu is 1396115630. It was assigned to this individual provider in the NPPES registry on September 29, 2015.

Q: What is Damodara Mendu's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

Q: When was this NPI record last updated?

The NPPES record for Damodara Mendu was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 29, 2015

6555 NW 9TH AVE, SUITE 209, FT LAUDERDALE, FL 33309(954) 925-6533 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2026, Sep 29, 2015 (2 updates tracked since 2015).

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About Damodara Rao Mendu Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAMODARA RAO MENDU PHD (NPI 1396115630) is an individual clinical laboratory director, non-physician in Ft Lauderdale, Florida, licensed in Florida (DI46724) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1396115630

Entity TypeIndividualMale

Primary Taxonomy247ZC0005X

Provider Legal NameDAMODARA RAO MENDUCredential: PHD

Location Address6555 NW 9TH AVE, SUITE 209Ft Lauderdale, FL 33309-2067

Mailing Address2025 Harding StHollywood, FL 33020-2714 · (954) 925-6533

Phone(954) 925-6533

Sole ProprietorYes

Enumeration DateSeptember 29, 2015

Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1396115630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247ZC0005X

License✔ Licensed in FL · DI46724

Definition

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.

6555 NW 9TH AVE, Ft Lauderdale, FL 33309

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Other Identifiers 1

OtherDI46724FL · Florida License

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SULLIVAN PHARMACY SERVICES INC.

Pharmacy (Community/Retail Pharmacy)

6555 NW 9TH AVE, STE 208
FORT LAUDERDALE, FL 33309

Broward County (954) 771-2091

MIORIKA MALINETESCU RD LD

Dietitian, Registered

6555 NW 9TH AVE
FT LAUDERDALE, FL 33309

Broward County (954) 771-2091

MAUREEN MAHONEY R.D.,L.N.

Dietitian, Registered

6555 NW 9TH AVE
FORT LAUDERDALE, FL 33309

Broward County (954) 771-2091

GREG PENNY

Recreation Therapist

6555 NW 9TH AVE, SUITE 112
FORT LAUDERDALE, FL 33309

Broward County (954) 771-2091

TRILOGY TREATMENT AND WELLNESS CENTER INC.

Clinic/Center (Health Service)

6555 NW 9TH AVE, SUITE 112
FORT LAUDERDALE, FL 33309

Broward County (954) 771-2091

SUZANNE BRAFMAN LCSW

Social Worker (Clinical)

6555 NW 9TH AVE, STE 214
FT LAUDERDALE, FL 33309

Broward County (954) 771-2091

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Damodara Mendu's NPI number?

The NPI number for Damodara Mendu is 1396115630. It was assigned to this individual provider in the NPPES registry on September 29, 2015.

Where is Damodara Mendu located?

Damodara Mendu practices at 6555 NW 9th Ave Suite 209, Ft Lauderdale, FL 33309. The listed phone number is (954) 925-6533.

What is Damodara Mendu's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Damodara Mendu was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.