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05D0971295 CLIA NUMBER - BURBANK EMERGENCY MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 05D0971295

Facility Name: BURBANK EMERGENCY MEDICAL GROUP INC

Facility Address:
501 S BUENA VISTA ST / ER
BURBANK, CA
ZIP 91505
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Facility Phone Number: 818 847-4055

Facility Type: Practitioner Other

Certificate Type: Waiver
NPI Number: 1689636730

Taxonomy: 207P00000X - Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CLIA Record

Field Name Field Value
CLIA Number 05D0971295
LAB Type Practitioner Other
Facility Name BURBANK EMERGENCY MEDICAL GROUP INC
Street 501 S BUENA VISTA ST / ER
City BURBANK
State CA
ZIP 91505
Phone 818 847-4055
CertificateType 4
CertificateEffectiveDate 3/9/2024
CertificateExpirationDate 3/8/2026
FacilityType Waiver

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