23D0376482 CLIA NUMBER - SMG NEPHROLOGY MICHIGAN AVENUE

Laboratory Demographics

CLIA Number: 23D0376482

Facility Name: SMG NEPHROLOGY MICHIGAN AVENUE

Facility Address:
1200 E MICHIGAN AVENUE SUITE 700
LANSING, MI
ZIP 48912
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Facility Phone Number: 517 364-5550

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1568867190

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	23D0376482
LAB Type	Physician Office
Facility Name	SMG NEPHROLOGY MICHIGAN AVENUE
Street	1200 E MICHIGAN AVENUE SUITE 700
City	LANSING
State	MI
ZIP	48912
Phone	517 364-5550
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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