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04D1006158 CLIA NUMBER - INTERNAL MEDICINE OF FORREST CITY

Laboratory Demographics

CLIA Number: 04D1006158

Facility Name: INTERNAL MEDICINE OF FORREST CITY

Facility Address:
332 EAST COOK ST
FORREST CITY, AR
ZIP 72335
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Facility Phone Number: 870 630-2233

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1659455830

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 04D1006158
LAB Type Physician Office
Facility Name INTERNAL MEDICINE OF FORREST CITY
Street 332 EAST COOK ST
City FORREST CITY
State AR
ZIP 72335
Phone 870 630-2233
CertificateType 3
CertificateEffectiveDate 11/8/2022
CertificateExpirationDate 11/7/2024
FacilityType PPMP

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