15D0921878 CLIA NUMBER - JAYSHREE BHATT, MD, PC

Laboratory Demographics

CLIA Number: 15D0921878

Facility Name: JAYSHREE BHATT, MD, PC

Facility Address:
9124 COLUMBIA AVE SUITE B
MUNSTER, IN
ZIP 46321
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Facility Phone Number: 219 836-0445

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1831106186

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	15D0921878
LAB Type	Physician Office
Facility Name	JAYSHREE BHATT, MD, PC
Street	9124 COLUMBIA AVE SUITE B
City	MUNSTER
State	IN
ZIP	46321
Phone	219 836-0445
CertificateType	4
CertificateEffectiveDate	11/7/2022
CertificateExpirationDate	11/6/2024
FacilityType	Waiver

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