10D1079642 CLIA NUMBER - ADDISON MIZNER MEDICAL LLC

Laboratory Demographics

CLIA Number: 10D1079642

Facility Name: ADDISON MIZNER MEDICAL LLC

Facility Address:
233 S FEDERAL HWY STE 103
BOCA RATON, FL
ZIP 33432
Get Directions

Facility Phone Number: 561 347-2996

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1902090202

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	10D1079642
LAB Type	Mobile Laboratory
Facility Name	ADDISON MIZNER MEDICAL LLC
Street	233 S FEDERAL HWY STE 103
City	BOCA RATON
State	FL
ZIP	33432
Phone	561 347-2996
CertificateType	4
CertificateEffectiveDate	2/4/2024
CertificateExpirationDate	2/3/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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