01D0698561 CLIA NUMBER - ISBELL MEDICAL GROUP PC

Laboratory Demographics

CLIA Number: 01D0698561

Facility Name: ISBELL MEDICAL GROUP PC

Facility Address:
550 MEDICAL CENTER DRIVE SW
FORT PAYNE, AL
ZIP 35968
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Facility Phone Number: (256) 845-8885

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1457411043

Taxonomy: 261QM1300X - Clinic/Center

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

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