19D1106420 CLIA NUMBER - TIMOTHY J MOONEY, MD, LLC

Laboratory Demographics

CLIA Number: 19D1106420

Facility Name: TIMOTHY J MOONEY, MD, LLC

Facility Address:
42333 DELUXE PLAZA, SUITE 7
HAMMOND, LA
ZIP 70403
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Facility Phone Number: 985 345-2355

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1770993891

Taxonomy: 207P00000X - Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CLIA Record

Field Name	Field Value
CLIA Number	19D1106420
LAB Type	Physician Office
Facility Name	TIMOTHY J MOONEY, MD, LLC
Street	42333 DELUXE PLAZA, SUITE 7
City	HAMMOND
State	LA
ZIP	70403
Phone	985 345-2355
CertificateType	3
CertificateEffectiveDate	10/13/2023
CertificateExpirationDate	10/12/2025
FacilityType	PPMP

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