08D1075338 CLIA NUMBER - SETH L IVINS, MD, LLC

Laboratory Demographics

CLIA Number: 08D1075338

Facility Name: SETH L IVINS, MD, LLC

Facility Address:
METROFORM MEDICAL BUILDING 620 STANTON-CHRISTIANA ROAD, SUITE 305
NEWARK, DE
ZIP 19713
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Facility Phone Number: 302 999-8830

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235172966

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	08D1075338
LAB Type	Physician Office
Facility Name	SETH L IVINS, MD, LLC
Street	METROFORM MEDICAL BUILDING 620 STANTON-CHRISTIANA ROAD, SUITE 305
City	NEWARK
State	DE
ZIP	19713
Phone	302 999-8830
CertificateType	4
CertificateEffectiveDate	10/18/2023
CertificateExpirationDate	10/17/2025
FacilityType	Waiver

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