15D2211355 CLIA NUMBER - SEVEN HILLS OBGYN ASSOCIATES LLC

Laboratory Demographics

CLIA Number: 15D2211355

Facility Name: SEVEN HILLS OBGYN ASSOCIATES LLC

Facility Address:
10307 DUPONT CIRCLE DRIVE SUITE B
FORT WAYNE, IN
ZIP 46825
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Facility Phone Number: 260 458-3440

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710621776

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	15D2211355
LAB Type	Physician Office
Facility Name	SEVEN HILLS OBGYN ASSOCIATES LLC
Street	10307 DUPONT CIRCLE DRIVE SUITE B
City	FORT WAYNE
State	IN
ZIP	46825
Phone	260 458-3440
CertificateType	4
CertificateEffectiveDate	1/27/2023
CertificateExpirationDate	1/26/2025
FacilityType	Waiver

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