10D0858811 CLIA NUMBER - STEVEN L MULLIS MD PA

Laboratory Demographics

CLIA Number: 10D0858811

Facility Name: STEVEN L MULLIS MD PA

Facility Address:
114 AIRPORT RD
PANAMA CITY, FL
ZIP 32405
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Facility Phone Number: 850 785-0788

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1912968512

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D0858811
LAB Type	Physician Office
Facility Name	STEVEN L MULLIS MD PA
Street	114 AIRPORT RD
City	PANAMA CITY
State	FL
ZIP	32405
Phone	850 785-0788
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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