14D2238242 CLIA NUMBER - MARSEILLES AREA AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 14D2238242

Facility Name: MARSEILLES AREA AMBULANCE SERVICE

Facility Address:
207 LINCOLN ST
MARSEILLES, IL
ZIP 61341
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Facility Phone Number: 815 795-4902

Facility Type: Other - MARSEILLES AMBULANCE DEPT

Certificate Type: Waiver

NPI Number: 1861677015

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	14D2238242
LAB Type	Other - MARSEILLES AMBULANCE DEPT
Facility Name	MARSEILLES AREA AMBULANCE SERVICE
Street	207 LINCOLN ST
City	MARSEILLES
State	IL
ZIP	61341
Phone	815 795-4902
CertificateType	4
CertificateEffectiveDate	10/1/2023
CertificateExpirationDate	9/30/2025
FacilityType	Waiver

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