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26D0438913 CLIA NUMBER - INTERNAL MEDICINE, LLC

Laboratory Demographics

CLIA Number: 26D0438913

Facility Name: INTERNAL MEDICINE, LLC

Facility Address:
4346 LOUGHBOROUGH AVENUE
SAINT LOUIS, MO
ZIP 63116
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Facility Phone Number: 314 481-7030

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1235389859

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 26D0438913
LAB Type Physician Office
Facility Name INTERNAL MEDICINE, LLC
Street 4346 LOUGHBOROUGH AVENUE
City SAINT LOUIS
State MO
ZIP 63116
Phone 314 481-7030
CertificateType 4
CertificateEffectiveDate 8/15/2022
CertificateExpirationDate 8/14/2024
FacilityType Waiver

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