11D2245728 CLIA NUMBER - PATRIOT EMERGENCY MEDICAL SERVICES LLC

Laboratory Demographics

CLIA Number: 11D2245728

Facility Name: PATRIOT EMERGENCY MEDICAL SERVICES LLC

Facility Address:
67 NEW STREET SUITE 105
ROCKMART, GA
ZIP 30153
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Facility Phone Number: 404 902-2628

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1861981698

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	11D2245728
LAB Type	Ambulance
Facility Name	PATRIOT EMERGENCY MEDICAL SERVICES LLC
Street	67 NEW STREET SUITE 105
City	ROCKMART
State	GA
ZIP	30153
Phone	404 902-2628
CertificateType	4
CertificateEffectiveDate	12/16/2023
CertificateExpirationDate	12/15/2025
FacilityType	Waiver

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