11D0862367 CLIA NUMBER - PIEDMONT NEPHROLOGY AND INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 11D0862367

Facility Name: PIEDMONT NEPHROLOGY AND INTERNAL MEDICINE

Facility Address:
105 COLLIER ROAD, NW, SUITE 3040
ATLANTA, GA
ZIP 30309
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Facility Phone Number: 404 355-7375

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1891132304

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	11D0862367
LAB Type	Physician Office
Facility Name	PIEDMONT NEPHROLOGY AND INTERNAL MEDICINE
Street	105 COLLIER ROAD, NW, SUITE 3040
City	ATLANTA
State	GA
ZIP	30309
Phone	404 355-7375
CertificateType	3
CertificateEffectiveDate	11/16/2023
CertificateExpirationDate	11/15/2025
FacilityType	PPMP

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