15D0937719 CLIA NUMBER - JMH IMMEDIATE CARE/OCCUPATIONAL HEALTH

Laboratory Demographics

CLIA Number: 15D0937719

Facility Name: JMH IMMEDIATE CARE/OCCUPATIONAL HEALTH

Facility Address:
2085 ACORN RD PO BOX 314
FRANKLIN, IN
ZIP 46131
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Facility Phone Number: 317 736-3300

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1679577357

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	15D0937719
LAB Type	Other
Facility Name	JMH IMMEDIATE CARE/OCCUPATIONAL HEALTH
Street	2085 ACORN RD PO BOX 314
City	FRANKLIN
State	IN
ZIP	46131
Phone	317 736-3300
CertificateType	4
CertificateEffectiveDate	6/26/2022
CertificateExpirationDate	6/25/2024
FacilityType	Waiver

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