14D0432348 CLIA NUMBER - ST JOSEPH MEDICAL CENTER

Laboratory Demographics

CLIA Number: 14D0432348

Facility Name: ST JOSEPH MEDICAL CENTER

Facility Address:
2200 E WASHINGTON ST
BLOOMINGTON, IL
ZIP 61701
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Facility Phone Number: 309 662-3311

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1760439517

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	14D0432348
LAB Type	Hospital
Facility Name	ST JOSEPH MEDICAL CENTER
Street	2200 E WASHINGTON ST
City	BLOOMINGTON
State	IL
ZIP	61701
Phone	309 662-3311
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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