18D2089855 CLIA NUMBER - JEFFREY PURVIS MD

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Laboratory Demographics

CLIA Number: 18D2089855

Facility Name: JEFFREY PURVIS MD

Facility Address:
2724 NASHVILLE ROAD
BOWLING GREEN, KY
ZIP 42101
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Facility Phone Number: 000 270-7824

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740270370

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	18D2089855
LAB Type	Physician Office
Facility Name	JEFFREY PURVIS MD
Street	2724 NASHVILLE ROAD
City	BOWLING GREEN
State	KY
ZIP	42101
Phone	000 270-7824
CertificateType	4
CertificateEffectiveDate	1/9/2023
CertificateExpirationDate	1/8/2025
FacilityType	Waiver

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