11D1009811 CLIA NUMBER - PULMONARY MEDICINE INCORPORATE

Laboratory Demographics

CLIA Number: 11D1009811

Facility Name: PULMONARY MEDICINE INCORPORATE

Facility Address:
5900 RIVER ROAD SUITE 402
COLUMBUS, GA
ZIP 31904
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Facility Phone Number: 706 660-9499

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043270697

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	11D1009811
LAB Type	Physician Office
Facility Name	PULMONARY MEDICINE INCORPORATE
Street	5900 RIVER ROAD SUITE 402
City	COLUMBUS
State	GA
ZIP	31904
Phone	706 660-9499
CertificateType	4
CertificateEffectiveDate	10/31/2023
CertificateExpirationDate	10/30/2025
FacilityType	Waiver

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