22D0709439 CLIA NUMBER - ENDOCRINE ASSOCIATES OF WESTERN MASS PC

Laboratory Demographics

CLIA Number: 22D0709439

Facility Name: ENDOCRINE ASSOCIATES OF WESTERN MASS PC

Facility Address:
2 MEDICAL CENTER DRIVE SUITE #210
SPRINGFIELD, MA
ZIP 01107
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Facility Phone Number: 413 734-4661

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396766424

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name Field Value
CLIA Number 22D0709439
LAB Type Physician Office
Facility Name ENDOCRINE ASSOCIATES OF WESTERN MASS PC
Street 2 MEDICAL CENTER DRIVE SUITE #210
City SPRINGFIELD
State MA
ZIP 01107
Phone 413 734-4661
CertificateType 4
CertificateEffectiveDate 3/10/2023
CertificateExpirationDate 3/9/2025
FacilityType Waiver

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