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21D1075988 CLIA NUMBER - PRIMECARE MED CENTER LLC

Laboratory Demographics

CLIA Number: 21D1075988

Facility Name: PRIMECARE MED CENTER LLC

Facility Address:
11161 NEW HAMPSHIRE AVENUE SUITE 305
SILVER SPRING, MD
ZIP 20904
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Facility Phone Number: 301 592-0062

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1932225661

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 21D1075988
LAB Type Physician Office
Facility Name PRIMECARE MED CENTER LLC
Street 11161 NEW HAMPSHIRE AVENUE SUITE 305
City SILVER SPRING
State MD
ZIP 20904
Phone 301 592-0062
CertificateType 4
CertificateEffectiveDate 11/2/2023
CertificateExpirationDate 11/1/2025
FacilityType Waiver

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