11D2259236 CLIA NUMBER - SMARTMED LLC

Laboratory Demographics

CLIA Number: 11D2259236

Facility Name: SMARTMED LLC

Facility Address:
612 HOLCOMB BRIDGE ROAD
ROSWELL, GA
ZIP 30076
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Facility Phone Number: 612 201-2120

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1912643040

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	11D2259236
LAB Type	Community Clinic
Facility Name	SMARTMED LLC
Street	612 HOLCOMB BRIDGE ROAD
City	ROSWELL
State	GA
ZIP	30076
Phone	612 201-2120
CertificateType	4
CertificateEffectiveDate	5/4/2024
CertificateExpirationDate	5/3/2026
FacilityType	Waiver

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