21D2110975 CLIA NUMBER - JESSE SADIKMAN, MD LLC

Laboratory Demographics

CLIA Number: 21D2110975

Facility Name: JESSE SADIKMAN, MD LLC

Facility Address:
121 CONGRESSIONAL LANE #204
ROCKVILLE, MD
ZIP 20852
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Facility Phone Number: 301 545-1000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1962555797

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	21D2110975
LAB Type	Physician Office
Facility Name	JESSE SADIKMAN, MD LLC
Street	121 CONGRESSIONAL LANE #204
City	ROCKVILLE
State	MD
ZIP	20852
Phone	301 545-1000
CertificateType	4
CertificateEffectiveDate	3/29/2024
CertificateExpirationDate	3/28/2026
FacilityType	Waiver

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