01D0681950 CLIA NUMBER - LARRY T BOLTON MD PC

Laboratory Demographics

CLIA Number: 01D0681950

Facility Name: LARRY T BOLTON MD PC

Facility Address:
303 PARKS AVENUE
SCOTTSBORO, AL
ZIP 35768
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Facility Phone Number: (256) 574-3623

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1447303367

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 01D0681950
LAB Type PHYSICIAN OFFICE
Facility Name LARRY T BOLTON MD PC
Street 303 PARKS AVENUE
City SCOTTSBORO
State AL
ZIP 35768
Phone (256) 574-3623

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This page was last updated on: 3/23/2022