14D2137866 CLIA NUMBER - IMMEDIATE HOME CARE PHYSICIAN INC

Laboratory Demographics

CLIA Number: 14D2137866

Facility Name: IMMEDIATE HOME CARE PHYSICIAN INC

Facility Address:
10516 S ROBERTS RD
PALOS HILLS, IL
ZIP 60465
Get Directions

Facility Phone Number: 708 631-1326

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1225670748

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	14D2137866
LAB Type	Independent
Facility Name	IMMEDIATE HOME CARE PHYSICIAN INC
Street	10516 S ROBERTS RD
City	PALOS HILLS
State	IL
ZIP	60465
Phone	708 631-1326
CertificateType	4
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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