14D0432335 CLIA NUMBER - DANIEL A NORD MD OBSTETRICS AND GYNECOLOGY LLC

Laboratory Demographics

CLIA Number: 14D0432335

Facility Name: DANIEL A NORD MD OBSTETRICS AND GYNECOLOGY LLC

Facility Address:
1505 EASTLAND DR, STE 230
BLOOMINGTON, IL
ZIP 61701
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Facility Phone Number: 309 663-8888

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336144955

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	14D0432335
LAB Type	Physician Office
Facility Name	DANIEL A NORD MD OBSTETRICS AND GYNECOLOGY LLC
Street	1505 EASTLAND DR, STE 230
City	BLOOMINGTON
State	IL
ZIP	61701
Phone	309 663-8888
CertificateType	4
CertificateEffectiveDate	12/1/2023
CertificateExpirationDate	11/30/2025
FacilityType	Waiver

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