21D1042638 CLIA NUMBER - BELTWAY INTERNAL MEDICINE ASSOC LLC

Laboratory Demographics

CLIA Number: 21D1042638

Facility Name: BELTWAY INTERNAL MEDICINE ASSOC LLC

Facility Address:
9114 PHILADELPHIA ROAD STE 300
BALTIMORE, MD
ZIP 21237
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Facility Phone Number: 443 632-4474

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1619165909

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 21D1042638
LAB Type Physician Office
Facility Name BELTWAY INTERNAL MEDICINE ASSOC LLC
Street 9114 PHILADELPHIA ROAD STE 300
City BALTIMORE
State MD
ZIP 21237
Phone 443 632-4474
CertificateType 3
CertificateEffectiveDate 7/5/2023
CertificateExpirationDate 7/4/2025
FacilityType PPMP

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