10D2287249 CLIA NUMBER - BETHEL MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 10D2287249

Facility Name: BETHEL MEDICAL GROUP INC

Facility Address:
6045 HAGEN RANCH RD #4
LAKE WORTH, FL
ZIP 33463
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Facility Phone Number: 561 619-9961

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053027508

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	10D2287249
LAB Type	Physician Office
Facility Name	BETHEL MEDICAL GROUP INC
Street	6045 HAGEN RANCH RD #4
City	LAKE WORTH
State	FL
ZIP	33463
Phone	561 619-9961
CertificateType	4
CertificateEffectiveDate	8/11/2023
CertificateExpirationDate	8/10/2025
FacilityType	Waiver

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