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17D0915098 CLIA NUMBER - GILL INTERNAL MEDICINE LLC

Laboratory Demographics

CLIA Number: 17D0915098

Facility Name: GILL INTERNAL MEDICINE LLC

Facility Address:
111 E TUCKER ROAD, SUITE F
LIBERAL, KS
ZIP 67901
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Facility Phone Number: 620 624-1100

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1578833141

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 17D0915098
LAB Type Physician Office
Facility Name GILL INTERNAL MEDICINE LLC
Street 111 E TUCKER ROAD, SUITE F
City LIBERAL
State KS
ZIP 67901
Phone 620 624-1100
CertificateType 4
CertificateEffectiveDate 5/17/2022
CertificateExpirationDate 5/16/2024
FacilityType Waiver

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