21D2170635 CLIA NUMBER - MID-ATLANTIC GI RESEARCH

Laboratory Demographics

CLIA Number: 21D2170635

Facility Name: MID-ATLANTIC GI RESEARCH

Facility Address:
7501 GREENWAY CENTER SUITE 470
GREENBELT, MD
ZIP 20770
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Facility Phone Number: 615 502-4310

Facility Type: Other - CLINICAL RESEARCH

Certificate Type: Waiver

NPI Number: 1316058498

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	21D2170635
LAB Type	Other - CLINICAL RESEARCH
Facility Name	MID-ATLANTIC GI RESEARCH
Street	7501 GREENWAY CENTER SUITE 470
City	GREENBELT
State	MD
ZIP	20770
Phone	615 502-4310
CertificateType	4
CertificateEffectiveDate	8/15/2023
CertificateExpirationDate	8/14/2025
FacilityType	Waiver

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