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15D0958708 CLIA NUMBER - INTERNAL MEDICINE OF THE WABASH VALLEY INC

Laboratory Demographics

CLIA Number: 15D0958708

Facility Name: INTERNAL MEDICINE OF THE WABASH VALLEY INC

Facility Address:
2800 POPLAR STREET, STE 19 A
TERRE HAUTE, IN
ZIP 47803
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Facility Phone Number: 812 235-7252

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1356727218

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 15D0958708
LAB Type Physician Office
Facility Name INTERNAL MEDICINE OF THE WABASH VALLEY INC
Street 2800 POPLAR STREET, STE 19 A
City TERRE HAUTE
State IN
ZIP 47803
Phone 812 235-7252
CertificateType 3
CertificateEffectiveDate 1/10/2024
CertificateExpirationDate 1/9/2026
FacilityType PPMP

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