21D1036973 CLIA NUMBER - MERCY PERSONAL PHYSICIANS AT HUNT VALLEY

Laboratory Demographics

CLIA Number: 21D1036973

Facility Name: MERCY PERSONAL PHYSICIANS AT HUNT VALLEY

Facility Address:
11121 YORK ROAD
HUNT VALLEY, MD
ZIP 21030
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Facility Phone Number: 410 628-2026

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801922646

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	21D1036973
LAB Type	Physician Office
Facility Name	MERCY PERSONAL PHYSICIANS AT HUNT VALLEY
Street	11121 YORK ROAD
City	HUNT VALLEY
State	MD
ZIP	21030
Phone	410 628-2026
CertificateType	4
CertificateEffectiveDate	10/10/2023
CertificateExpirationDate	10/9/2025
FacilityType	Waiver

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