04D2219905 CLIA NUMBER - ADVANCED PRIMARY CARE TOTEM HEALTH, PLLC

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Laboratory Demographics

CLIA Number: 04D2219905

Facility Name: ADVANCED PRIMARY CARE TOTEM HEALTH, PLLC

Facility Address:
5320 WEST SUNSET, SUITE 157
SPRINGDALE, AR
ZIP 72762
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Facility Phone Number: 479 966-7331

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770100752

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	04D2219905
LAB Type	Physician Office
Facility Name	ADVANCED PRIMARY CARE TOTEM HEALTH, PLLC
Street	5320 WEST SUNSET, SUITE 157
City	SPRINGDALE
State	AR
ZIP	72762
Phone	479 966-7331
CertificateType	4
CertificateEffectiveDate	4/8/2023
CertificateExpirationDate	4/7/2025
FacilityType	Waiver

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