04D0468485 CLIA NUMBER - LINCOLN PADEN MEDICAL GROUP

Laboratory Demographics

CLIA Number: 04D0468485

Facility Name: LINCOLN PADEN MEDICAL GROUP

Facility Address:
405 BUTTERCUP DRIVE
MOUNTAIN HOME, AR
ZIP 72653
Get Directions

Facility Phone Number: 870 425-3030

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1538112081

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	04D0468485
LAB Type	Physician Office
Facility Name	LINCOLN PADEN MEDICAL GROUP
Street	405 BUTTERCUP DRIVE
City	MOUNTAIN HOME
State	AR
ZIP	72653
Phone	870 425-3030
CertificateType	4
CertificateEffectiveDate	5/30/2023
CertificateExpirationDate	5/29/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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