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15D1049118 CLIA NUMBER - WOUND HEALING CT AT BALL MEMORIAL HOSP

Laboratory Demographics

CLIA Number: 15D1049118

Facility Name: WOUND HEALING CT AT BALL MEMORIAL HOSP

Facility Address:
2901 W JACKSON ST
MUNCIE, IN
ZIP 47304
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Facility Phone Number: 765 751-5010

Facility Type: Other

Certificate Type: Waiver
NPI Number: 1063655694

Taxonomy: 207P00000X - Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CLIA Record

Field Name Field Value
CLIA Number 15D1049118
LAB Type Other
Facility Name WOUND HEALING CT AT BALL MEMORIAL HOSP
Street 2901 W JACKSON ST
City MUNCIE
State IN
ZIP 47304
Phone 765 751-5010
CertificateType 4
CertificateEffectiveDate 12/22/2023
CertificateExpirationDate 12/21/2025
FacilityType Waiver

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