22D0068201 CLIA NUMBER - SUBURBAN INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 22D0068201

Facility Name: SUBURBAN INTERNAL MEDICINE

Facility Address:
STOCKBRIDGE RD PO BOX 709
LEE, MA
ZIP 01238
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Facility Phone Number: 413 243-0122

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1659381192

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	22D0068201
LAB Type	Physician Office
Facility Name	SUBURBAN INTERNAL MEDICINE
Street	STOCKBRIDGE RD PO BOX 709
City	LEE
State	MA
ZIP	01238
Phone	413 243-0122
CertificateType	3
CertificateEffectiveDate	5/9/2023
CertificateExpirationDate	5/8/2025
FacilityType	PPMP

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