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22D0716890 CLIA NUMBER - BASS RIVER PEDIATRIC ASSOCIATES PC

Laboratory Demographics

CLIA Number: 22D0716890

Facility Name: BASS RIVER PEDIATRIC ASSOCIATES PC

Facility Address:
237 STATION AVENUE
SOUTH YARMOUTH, MA
ZIP 02664
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Facility Phone Number: 508 394-2116

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1811105539

Taxonomy: 2080H0002X - Pediatrics
A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

CLIA Record

Field Name Field Value
CLIA Number 22D0716890
LAB Type Physician Office
Facility Name BASS RIVER PEDIATRIC ASSOCIATES PC
Street 237 STATION AVENUE
City SOUTH YARMOUTH
State MA
ZIP 02664
Phone 508 394-2116
CertificateType 4
CertificateEffectiveDate 7/16/2023
CertificateExpirationDate 7/15/2025
FacilityType Waiver

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