15D2164578 CLIA NUMBER - J & M WELLNESS, LLC

Laboratory Demographics

CLIA Number: 15D2164578

Facility Name: J & M WELLNESS, LLC

Facility Address:
14350 MUNDY DRIVE, SUITE 500
NOBLESVILLE, IN
ZIP 46060
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Facility Phone Number: 317 750-8573

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1053974519

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	15D2164578
LAB Type	Practitioner Other
Facility Name	J & M WELLNESS, LLC
Street	14350 MUNDY DRIVE, SUITE 500
City	NOBLESVILLE
State	IN
ZIP	46060
Phone	317 750-8573
CertificateType	4
CertificateEffectiveDate	4/9/2023
CertificateExpirationDate	4/8/2025
FacilityType	Waiver

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