01D0692716 CLIA NUMBER - Jefferson Pediatrics Pc

Laboratory Demographics

CLIA Number: 01D0692716

Facility Name: Jefferson Pediatrics Pc

Facility Address:
3919 W Jefferson Blvd Ste 1
Fort Wayne, IN
ZIP 46804
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Facility Phone Number: (260) 436-7722

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1629263181

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 01D0692716
LAB Type PHYSICIAN OFFICE
Facility Name Jefferson Pediatrics Pc
Street 3919 W Jefferson Blvd Ste 1
City Fort Wayne
State IN
ZIP 46804
Phone (260) 436-7722

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This page was last updated on: 4/7/2021