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07D1041461 CLIA NUMBER - ORANGE INTERNAL MEDICINE, LLC

Laboratory Demographics

CLIA Number: 07D1041461

Facility Name: ORANGE INTERNAL MEDICINE, LLC

Facility Address:
240 INDIAN RIVER RD SUITE C2
ORANGE, CT
ZIP 06477
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Facility Phone Number: 203 795-3617

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1518051002

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 07D1041461
LAB Type Physician Office
Facility Name ORANGE INTERNAL MEDICINE, LLC
Street 240 INDIAN RIVER RD SUITE C2
City ORANGE
State CT
ZIP 06477
Phone 203 795-3617
CertificateType 4
CertificateEffectiveDate 6/3/2023
CertificateExpirationDate 6/2/2025
FacilityType Waiver

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