15D2227059 CLIA NUMBER - COMMUNITY PHYSICIANS OF INDIANA, INC

Laboratory Demographics

CLIA Number: 15D2227059

Facility Name: COMMUNITY PHYSICIANS OF INDIANA, INC

Facility Address:
2943 MORGANTOWN ROAD
GREENWOOD, IN
ZIP 46143
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Facility Phone Number: 317 497-6169

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235871724

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	15D2227059
LAB Type	Physician Office
Facility Name	COMMUNITY PHYSICIANS OF INDIANA, INC
Street	2943 MORGANTOWN ROAD
City	GREENWOOD
State	IN
ZIP	46143
Phone	317 497-6169
CertificateType	4
CertificateEffectiveDate	6/8/2023
CertificateExpirationDate	6/7/2025
FacilityType	Waiver

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