22D0951455 CLIA NUMBER - MOUNTAIN VIEW FAMILY PRACTICE, PC

Laboratory Demographics

CLIA Number: 22D0951455

Facility Name: MOUNTAIN VIEW FAMILY PRACTICE, PC

Facility Address:
570 BALDWINVILLE ROAD
BALDWINVILLE, MA
ZIP 01436
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Facility Phone Number: 978 939-2133

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1639409428

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	22D0951455
LAB Type	Physician Office
Facility Name	MOUNTAIN VIEW FAMILY PRACTICE, PC
Street	570 BALDWINVILLE ROAD
City	BALDWINVILLE
State	MA
ZIP	01436
Phone	978 939-2133
CertificateType	4
CertificateEffectiveDate	9/18/2022
CertificateExpirationDate	9/17/2024
FacilityType	Waiver

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