01D0303857 CLIA NUMBER - PRATTVILLE PRIMARY CARE LLC

Laboratory Demographics

CLIA Number: 01D0303857

Facility Name: PRATTVILLE PRIMARY CARE LLC

Facility Address:
461 E MAIN STREET
PRATTVILLE, AL
ZIP 36067
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Facility Phone Number: (334) 365-2205

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1326184029

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	01D0303857
LAB Type	PHYSICIAN OFFICE
Facility Name	PRATTVILLE PRIMARY CARE LLC
Street	461 E MAIN STREET
City	PRATTVILLE
State	AL
ZIP	36067
Phone	(334) 365-2205

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