01D2020982 CLIA NUMBER - EASTERN SHORE INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 01D2020982

Facility Name: EASTERN SHORE INTERNAL MEDICINE

Facility Address:
341 GREENO RD N, SUITEC
FAIRHOPE, AL
ZIP 36532
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Facility Phone Number: 251 990-1770

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1891090403

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 01D2020982
LAB Type Physician Office
Facility Name EASTERN SHORE INTERNAL MEDICINE
Street 341 GREENO RD N, SUITEC
City FAIRHOPE
State AL
ZIP 36532
Phone 251 990-1770
CertificateType 4
CertificateEffectiveDate 3/3/2023
CertificateExpirationDate 3/2/2025
FacilityType Waiver

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