10D2044780 CLIA NUMBER - MOHAMMED I BAIG OFFICE

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Laboratory Demographics

CLIA Number: 10D2044780

Facility Name: MOHAMMED I BAIG OFFICE

Facility Address:
4100 S HOSPITAL DR STE 300
PLANTATION, FL
ZIP 33317
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Facility Phone Number: 954 797-0601

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043209125

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	10D2044780
LAB Type	Physician Office
Facility Name	MOHAMMED I BAIG OFFICE
Street	4100 S HOSPITAL DR STE 300
City	PLANTATION
State	FL
ZIP	33317
Phone	954 797-0601
CertificateType	4
CertificateEffectiveDate	7/31/2022
CertificateExpirationDate	7/30/2024
FacilityType	Waiver

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