01D0304366 CLIA NUMBER - INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

CLIA Number: 01D0304366

Facility Name: INTERNAL MEDICINE ASSOCIATES

Facility Address:
6940 WINTON BLOUNT BLVD
MONTGOMERY, AL
ZIP 36117
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Facility Phone Number: (334) 279-9211

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1720106859

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	01D0304366
LAB Type	PHYSICIAN OFFICE
Facility Name	INTERNAL MEDICINE ASSOCIATES
Street	6940 WINTON BLOUNT BLVD
City	MONTGOMERY
State	AL
ZIP	36117
Phone	(334) 279-9211

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