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23D1002150 CLIA NUMBER - EASTSIDE INTERNAL MEDICINE, PC

Laboratory Demographics

CLIA Number: 23D1002150

Facility Name: EASTSIDE INTERNAL MEDICINE, PC

Facility Address:
28315 HARPER
ST CLAIR SHORES, MI
ZIP 48081
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Facility Phone Number: 586 552-1710

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1831201821

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 23D1002150
LAB Type Physician Office
Facility Name EASTSIDE INTERNAL MEDICINE, PC
Street 28315 HARPER
City ST CLAIR SHORES
State MI
ZIP 48081
Phone 586 552-1710
CertificateType 4
CertificateEffectiveDate 7/30/2022
CertificateExpirationDate 7/29/2024
FacilityType Waiver

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