23D0974313 CLIA NUMBER - GREAT LAKES CENTER OF RHEUMATOLOGY

Laboratory Demographics

CLIA Number: 23D0974313

Facility Name: GREAT LAKES CENTER OF RHEUMATOLOGY

Facility Address:
4052 LEGACY PARKWAY SUITE 200
LANSING, MI
ZIP 48911
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Facility Phone Number: 517 272-9700

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1548717580

Taxonomy: 207RR0500X - Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

CLIA Record

Field Name	Field Value
CLIA Number	23D0974313
LAB Type	Physician Office
Facility Name	GREAT LAKES CENTER OF RHEUMATOLOGY
Street	4052 LEGACY PARKWAY SUITE 200
City	LANSING
State	MI
ZIP	48911
Phone	517 272-9700
CertificateType	2
CertificateEffectiveDate	10/9/2023
CertificateExpirationDate	10/8/2025
FacilityType	Compliance

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