06D0515730 CLIA NUMBER - MARK W HINMAN MD

Laboratory Demographics

CLIA Number: 06D0515730

Facility Name: MARK W HINMAN MD

Facility Address:
1350 TULIP
LONGMONT, CO
ZIP 80501
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Facility Phone Number: 303 776-6872

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750385415

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	06D0515730
LAB Type	Physician Office
Facility Name	MARK W HINMAN MD
Street	1350 TULIP
City	LONGMONT
State	CO
ZIP	80501
Phone	303 776-6872
CertificateType	4
CertificateEffectiveDate	3/1/2024
CertificateExpirationDate	2/28/2026
FacilityType	Waiver

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