10D0963647 CLIA NUMBER - JOHN T MACKAY MD

Laboratory Demographics

CLIA Number: 10D0963647

Facility Name: JOHN T MACKAY MD

Facility Address:
1216 N MONROE ST STE 3
TALLAHASSEE, FL
ZIP 32303
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Facility Phone Number: 850 877-8171

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942267844

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	10D0963647
LAB Type	Physician Office
Facility Name	JOHN T MACKAY MD
Street	1216 N MONROE ST STE 3
City	TALLAHASSEE
State	FL
ZIP	32303
Phone	850 877-8171
CertificateType	4
CertificateEffectiveDate	8/4/2023
CertificateExpirationDate	8/3/2025
FacilityType	Waiver

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