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01D1100134 CLIA NUMBER - SCOTTSBORO INTERNAL MEDICINE PC

Laboratory Demographics

CLIA Number: 01D1100134

Facility Name: SCOTTSBORO INTERNAL MEDICINE PC

Facility Address:
1508 SOUTH BROAD STREET
SCOTTSBORO, AL
ZIP 35768
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Facility Phone Number: 256 259-3344

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1851527923

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 01D1100134
LAB Type Physician Office
Facility Name SCOTTSBORO INTERNAL MEDICINE PC
Street 1508 SOUTH BROAD STREET
City SCOTTSBORO
State AL
ZIP 35768
Phone 256 259-3344
CertificateType 4
CertificateEffectiveDate 5/29/2023
CertificateExpirationDate 5/28/2025
FacilityType Waiver

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