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17D0450635 CLIA NUMBER - PITTSBURG INTERNAL MEDICINE MARK CARLSON, MD

Laboratory Demographics

CLIA Number: 17D0450635

Facility Name: PITTSBURG INTERNAL MEDICINE MARK CARLSON, MD

Facility Address:
2401 SOUTH TUCKER AVENUE SUITE 1
PITTSBURG, KS
ZIP 66762
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Facility Phone Number: 620 231-1650

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1588719991

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 17D0450635
LAB Type Physician Office
Facility Name PITTSBURG INTERNAL MEDICINE MARK CARLSON, MD
Street 2401 SOUTH TUCKER AVENUE SUITE 1
City PITTSBURG
State KS
ZIP 66762
Phone 620 231-1650
CertificateType 3
CertificateEffectiveDate 8/17/2023
CertificateExpirationDate 8/16/2025
FacilityType PPMP

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