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14D0721806 CLIA NUMBER - TIBOR C KOPJAS MD

Laboratory Demographics

CLIA Number: 14D0721806

Facility Name: TIBOR C KOPJAS MD

Facility Address:
6812 STATE ROUTE 162 - STE 209
MARYVILLE, IL
ZIP 62062
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Facility Phone Number: 618 391-5061

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1952332918

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 14D0721806
LAB Type Physician Office
Facility Name TIBOR C KOPJAS MD
Street 6812 STATE ROUTE 162 - STE 209
City MARYVILLE
State IL
ZIP 62062
Phone 618 391-5061
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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