01D0300295 CLIA NUMBER - ST VINCENT'S PRIMARY CARE - ONEONTA

Laboratory Demographics

CLIA Number: 01D0300295

Facility Name: ST VINCENT'S PRIMARY CARE - ONEONTA

Facility Address:
150 GILBREATH DRIVE SUITE 201
ONEONTA, AL
ZIP 35121
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Facility Phone Number: (205) 274-8198

Facility Type: PHYSICIAN OFFICE

Certificate Type: Accreditation

NPI Number: 1881995520

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	01D0300295
LAB Type	PHYSICIAN OFFICE
Facility Name	ST VINCENT'S PRIMARY CARE - ONEONTA
Street	150 GILBREATH DRIVE SUITE 201
City	ONEONTA
State	AL
ZIP	35121
Phone	(205) 274-8198

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This page was last updated on: 5/11/2023