14D0963181 CLIA NUMBER - DAVID C NORMAN MD INC

Laboratory Demographics

CLIA Number: 14D0963181

Facility Name: DAVID C NORMAN MD INC

Facility Address:
3030 FRANK SCOTT PARKWAY WEST - STE 1
BELLEVILLE, IL
ZIP 62226
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Facility Phone Number: 618 257-2550

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306871660

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	14D0963181
LAB Type	Physician Office
Facility Name	DAVID C NORMAN MD INC
Street	3030 FRANK SCOTT PARKWAY WEST - STE 1
City	BELLEVILLE
State	IL
ZIP	62226
Phone	618 257-2550
CertificateType	4
CertificateEffectiveDate	7/23/2023
CertificateExpirationDate	7/22/2025
FacilityType	Waiver

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