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21D1013981 CLIA NUMBER - PREVENTIVE CARE NETWORK SERVICES PC

Laboratory Demographics

CLIA Number: 21D1013981

Facility Name: PREVENTIVE CARE NETWORK SERVICES PC

Facility Address:
9001 WOODYARD ROAD, SUITE C
CLINTON, MD
ZIP 20735
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Facility Phone Number: 301 868-7333

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1548822232

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 21D1013981
LAB Type Physician Office
Facility Name PREVENTIVE CARE NETWORK SERVICES PC
Street 9001 WOODYARD ROAD, SUITE C
City CLINTON
State MD
ZIP 20735
Phone 301 868-7333
CertificateType 4
CertificateEffectiveDate 9/28/2022
CertificateExpirationDate 9/27/2024
FacilityType Waiver

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