15D0358869 CLIA NUMBER - MARION GEN HOSP, INC DBA UROLOGY CENTER OF MGH

Laboratory Demographics

CLIA Number: 15D0358869

Facility Name: MARION GEN HOSP, INC DBA UROLOGY CENTER OF MGH

Facility Address:
330 N WABASH AVE STE 350
MARION, IN
ZIP 46952
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Facility Phone Number: 765 660-7600

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1528099041

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	15D0358869
LAB Type	Physician Office
Facility Name	MARION GEN HOSP, INC DBA UROLOGY CENTER OF MGH
Street	330 N WABASH AVE STE 350
City	MARION
State	IN
ZIP	46952
Phone	765 660-7600
CertificateType	1
CertificateEffectiveDate	11/11/2022
CertificateExpirationDate	11/10/2024
FacilityType	Accreditation

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