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19D0464907 CLIA NUMBER - PREDRAG M GAGIC MD

Laboratory Demographics

CLIA Number: 19D0464907

Facility Name: PREDRAG M GAGIC MD

Facility Address:
313 CENTER STREET
MARKSVILLE, LA
ZIP 71351
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Facility Phone Number: 318 253-8655

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1811983877

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name Field Value
CLIA Number 19D0464907
LAB Type Physician Office
Facility Name PREDRAG M GAGIC MD
Street 313 CENTER STREET
City MARKSVILLE
State LA
ZIP 71351
Phone 318 253-8655
CertificateType 3
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType PPMP

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