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22D1030028 CLIA NUMBER - RANDOLPH MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 22D1030028

Facility Name: RANDOLPH MEDICAL ASSOCIATES

Facility Address:
32 SOUTH MAIN STREET
RANDOLPH, MA
ZIP 02368
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Facility Phone Number: 781 986-1368

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1790984268

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 22D1030028
LAB Type Physician Office
Facility Name RANDOLPH MEDICAL ASSOCIATES
Street 32 SOUTH MAIN STREET
City RANDOLPH
State MA
ZIP 02368
Phone 781 986-1368
CertificateType 4
CertificateEffectiveDate 8/30/2022
CertificateExpirationDate 8/29/2024
FacilityType Waiver

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