01D0698561 CLIA NUMBER - ISBELL MEDICAL GROUP PC

Laboratory Demographics

  • Code: 01D0698561
  • Facility Name: ISBELL MEDICAL GROUP PC
  • Facility Address: 550 MEDICAL CENTER DRIVE SW
    FORT PAYNE, AL
    ZIP 35968
  • Facility Phone: 256 845-8885
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • NPI Number: 1457411043
  • Taxonomy: 261QM1300X - Clinic/Center
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CLIA Record

Field Name Field Value
CLIA Number 01D0698561
LAB Type Physician Office
Facility Name ISBELL MEDICAL GROUP PC
Street 550 MEDICAL CENTER DRIVE SW
City FORT PAYNE
State AL
ZIP 35968
Phone 256 845-8885
Certificate Type 2
Certificate Effective Date 9/20/2023
Certificate Expiration Date 9/19/2025
Facility Type Compliance

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