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19D2159289 CLIA NUMBER - ST LUKE'S MEDICAL GROUP OF LOUISIANA

Laboratory Demographics

CLIA Number: 19D2159289

Facility Name: ST LUKE'S MEDICAL GROUP OF LOUISIANA

Facility Address:
3955 GOVERNMENT ST, SUITE 2
BATON ROUGE, LA
ZIP 70806
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Facility Phone Number: 225 900-8924

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1922504364

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 19D2159289
LAB Type Physician Office
Facility Name ST LUKE'S MEDICAL GROUP OF LOUISIANA
Street 3955 GOVERNMENT ST, SUITE 2
City BATON ROUGE
State LA
ZIP 70806
Phone 225 900-8924
CertificateType 4
CertificateEffectiveDate 12/17/2022
CertificateExpirationDate 12/16/2024
FacilityType Waiver

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