10D0863018 CLIA NUMBER - CORDELL MITCHELL MD

Laboratory Demographics

CLIA Number: 10D0863018

Facility Name: CORDELL MITCHELL MD

Facility Address:
974 DOUGLAS AVENUE SUITE 102
ALTAMONTE SPRINGS, FL
ZIP 32714
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Facility Phone Number: 407 862-1550

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306899679

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D0863018
LAB Type	Physician Office
Facility Name	CORDELL MITCHELL MD
Street	974 DOUGLAS AVENUE SUITE 102
City	ALTAMONTE SPRINGS
State	FL
ZIP	32714
Phone	407 862-1550
CertificateType	4
CertificateEffectiveDate	10/28/2023
CertificateExpirationDate	10/27/2025
FacilityType	Waiver

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