21D2158553 CLIA NUMBER - MERCY A OBAMOGIE MD MPH PC

Laboratory Demographics

CLIA Number: 21D2158553

Facility Name: MERCY A OBAMOGIE MD MPH PC

Facility Address:
7225 HANOVER PARKWAY SUITE A
GREENBELT, MD
ZIP 20770
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Facility Phone Number: 301 345-5900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114062775

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	21D2158553
LAB Type	Physician Office
Facility Name	MERCY A OBAMOGIE MD MPH PC
Street	7225 HANOVER PARKWAY SUITE A
City	GREENBELT
State	MD
ZIP	20770
Phone	301 345-5900
CertificateType	4
CertificateEffectiveDate	12/3/2022
CertificateExpirationDate	12/2/2024
FacilityType	Waiver

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