11D2214289 CLIA NUMBER - MEDICI URGENT CARE AND WELLNESS CENTER

Laboratory Demographics

CLIA Number: 11D2214289

Facility Name: MEDICI URGENT CARE AND WELLNESS CENTER

Facility Address:
1039 GRANT STREET, SUITE D-12, SE
ATLANTA, GA
ZIP 30315
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Facility Phone Number: 678 778-6983

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1225630395

Taxonomy: 207P00000X - Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CLIA Record

Field Name Field Value
CLIA Number 11D2214289
LAB Type Other - URGENT CARE
Facility Name MEDICI URGENT CARE AND WELLNESS CENTER
Street 1039 GRANT STREET, SUITE D-12, SE
City ATLANTA
State GA
ZIP 30315
Phone 678 778-6983
CertificateType 4
CertificateEffectiveDate 2/22/2023
CertificateExpirationDate 2/21/2025
FacilityType Waiver

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