18D0321827 CLIA NUMBER - MARKERT FAMILY PRACTICE, PSC

Laboratory Demographics

CLIA Number: 18D0321827

Facility Name: MARKERT FAMILY PRACTICE, PSC

Facility Address:
1169 EASTERN PKWY, SUITE 2265
LOUISVILLE, KY
ZIP 40217
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Facility Phone Number: 502 635-7455

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174681977

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	18D0321827
LAB Type	Physician Office
Facility Name	MARKERT FAMILY PRACTICE, PSC
Street	1169 EASTERN PKWY, SUITE 2265
City	LOUISVILLE
State	KY
ZIP	40217
Phone	502 635-7455
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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