19D0899727 CLIA NUMBER - SPECIALTY HOSPITAL SPECIALTY EXTENDED CARE HOSPITAL OF MONROE, LLC

Laboratory Demographics

CLIA Number: 19D0899727

Facility Name: SPECIALTY HOSPITAL SPECIALTY EXTENDED CARE HOSPITAL OF MONROE, LLC

Facility Address:
309 JACKSON ST, 7TH FLOOR
MONROE, LA
ZIP 71201
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Facility Phone Number: 318 966-4126

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1821469990

Taxonomy: 208M00000X - Hospitalist
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

CLIA Record

Field Name	Field Value
CLIA Number	19D0899727
LAB Type	Hospital
Facility Name	SPECIALTY HOSPITAL SPECIALTY EXTENDED CARE HOSPITAL OF MONROE, LLC
Street	309 JACKSON ST, 7TH FLOOR
City	MONROE
State	LA
ZIP	71201
Phone	318 966-4126
CertificateType	4
CertificateEffectiveDate	4/5/2023
CertificateExpirationDate	4/4/2025
FacilityType	Waiver

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