15D0672355 CLIA NUMBER - STANLEY R DRAKE MD

Laboratory Demographics

CLIA Number: 15D0672355

Facility Name: STANLEY R DRAKE MD

Facility Address:
3401 S 4TH STREET
TERRE HAUTE, IN
ZIP 47802
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Facility Phone Number: 812 232-6613

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1992722490

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	15D0672355
LAB Type	Physician Office
Facility Name	STANLEY R DRAKE MD
Street	3401 S 4TH STREET
City	TERRE HAUTE
State	IN
ZIP	47802
Phone	812 232-6613
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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