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15D0947329 CLIA NUMBER - CHANTEL MEDICAL LLC

Laboratory Demographics

CLIA Number: 15D0947329

Facility Name: CHANTEL MEDICAL LLC

Facility Address:
9108 COLUMBIA AVE, STE B
MUNSTER, IN
ZIP 46321
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Facility Phone Number: 219 836-8901

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1427467273

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 15D0947329
LAB Type Physician Office
Facility Name CHANTEL MEDICAL LLC
Street 9108 COLUMBIA AVE, STE B
City MUNSTER
State IN
ZIP 46321
Phone 219 836-8901
CertificateType 4
CertificateEffectiveDate 6/12/2022
CertificateExpirationDate 6/11/2024
FacilityType Waiver

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