10D2233811 CLIA NUMBER - RPS PRIMARY MEDICAL CENTER PLLC

Laboratory Demographics

CLIA Number: 10D2233811

Facility Name: RPS PRIMARY MEDICAL CENTER PLLC

Facility Address:
2900 LOOPDALE LANE
KISSIMMEE, FL
ZIP 34741
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Facility Phone Number: 689 221-0039

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417537200

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	10D2233811
LAB Type	Physician Office
Facility Name	RPS PRIMARY MEDICAL CENTER PLLC
Street	2900 LOOPDALE LANE
City	KISSIMMEE
State	FL
ZIP	34741
Phone	689 221-0039
CertificateType	4
CertificateEffectiveDate	8/26/2023
CertificateExpirationDate	8/25/2025
FacilityType	Waiver

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