21D0966401 CLIA NUMBER - VINCENT P WROBLEWSKI MD PA

Laboratory Demographics

CLIA Number: 21D0966401

Facility Name: VINCENT P WROBLEWSKI MD PA

Facility Address:
1623 BELLONA AVENUE
LUTHERVILLE, MD
ZIP 21093
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Facility Phone Number: 410 252-4406

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1780676775

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	21D0966401
LAB Type	Physician Office
Facility Name	VINCENT P WROBLEWSKI MD PA
Street	1623 BELLONA AVENUE
City	LUTHERVILLE
State	MD
ZIP	21093
Phone	410 252-4406
CertificateType	3
CertificateEffectiveDate	10/14/2023
CertificateExpirationDate	10/13/2025
FacilityType	PPMP

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