01D0306147 CLIA NUMBER - PEDIATRIC ADOLESCENT MEDICINE INC

Laboratory Demographics

CLIA Number: 01D0306147

Facility Name: PEDIATRIC ADOLESCENT MEDICINE INC

Facility Address:
618 MEDICAL CENTER PKWY SUITE A
SELMA, AL
ZIP 36701
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Facility Phone Number: (334) 874-4843

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1902975899

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CLIA Record

Field Name	Field Value
CLIA Number	01D0306147
LAB Type	PHYSICIAN OFFICE
Facility Name	PEDIATRIC ADOLESCENT MEDICINE INC
Street	618 MEDICAL CENTER PKWY SUITE A
City	SELMA
State	AL
ZIP	36701
Phone	(334) 874-4843

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