14D2217928 CLIA NUMBER - NMG - UROLOGY - GENEVA

Laboratory Demographics

CLIA Number: 14D2217928

Facility Name: NMG - UROLOGY - GENEVA

Facility Address:
302 S RANDALL RD - STE 206
GENEVA, IL
ZIP 60134
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Facility Phone Number: 331 732-4600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730541699

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	14D2217928
LAB Type	Physician Office
Facility Name	NMG - UROLOGY - GENEVA
Street	302 S RANDALL RD - STE 206
City	GENEVA
State	IL
ZIP	60134
Phone	331 732-4600
CertificateType	4
CertificateEffectiveDate	3/24/2023
CertificateExpirationDate	3/23/2025
FacilityType	Waiver

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