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11D1005653 CLIA NUMBER - INTERNAL MEDICINE SPECIALISTS PC

Laboratory Demographics

CLIA Number: 11D1005653

Facility Name: INTERNAL MEDICINE SPECIALISTS PC

Facility Address:
721 WELLNESS WAY, SUITE 220
LAWRENCEVILLE, GA
ZIP 30046
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Facility Phone Number: 770 709-0900

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1679755029

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 11D1005653
LAB Type Physician Office
Facility Name INTERNAL MEDICINE SPECIALISTS PC
Street 721 WELLNESS WAY, SUITE 220
City LAWRENCEVILLE
State GA
ZIP 30046
Phone 770 709-0900
CertificateType 3
CertificateEffectiveDate 10/28/2022
CertificateExpirationDate 10/27/2024
FacilityType PPMP

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