01D0695481 CLIA NUMBER - PIKE INTERNAL MEDICINE PC

Laboratory Demographics

  • Code: 01D0695481
  • Facility Name: PIKE INTERNAL MEDICINE PC
  • Facility Address: 1350 HWY 231 SO
    TROY, AL
    ZIP 36081
  • Facility Phone: 334 566-1270
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • NPI Number: 1417015918
  • Taxonomy: 207R00000X - Internal Medicine
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CLIA Record

Field Name Field Value
CLIA Number 01D0695481
LAB Type Physician Office
Facility Name PIKE INTERNAL MEDICINE PC
Street 1350 HWY 231 SO
City TROY
State AL
ZIP 36081
Phone 334 566-1270
Certificate Type 3
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type PPMP

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This page was last updated on: 4/23/2024