10D2243456 CLIA NUMBER - MART MEDICAL GROUP

Laboratory Demographics

CLIA Number: 10D2243456

Facility Name: MART MEDICAL GROUP

Facility Address:
7311 NW 36 ST, UNIT 7311
MIAMI, FL
ZIP 33143
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Facility Phone Number: 786 640-0602

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1801427463

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	10D2243456
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	MART MEDICAL GROUP
Street	7311 NW 36 ST, UNIT 7311
City	MIAMI
State	FL
ZIP	33143
Phone	786 640-0602
CertificateType	4
CertificateEffectiveDate	11/18/2023
CertificateExpirationDate	11/17/2025
FacilityType	Waiver

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