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26D0443654 CLIA NUMBER - MEDICAL PLAZA INTERNAL MEDICINE LAB

Laboratory Demographics

CLIA Number: 26D0443654

Facility Name: MEDICAL PLAZA INTERNAL MEDICINE LAB

Facility Address:
10787 NALL AVE
OVERLAND PARK, KS
ZIP 66211
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Facility Phone Number: 913 945-6900

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1982845970

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 26D0443654
LAB Type Physician Office
Facility Name MEDICAL PLAZA INTERNAL MEDICINE LAB
Street 10787 NALL AVE
City OVERLAND PARK
State KS
ZIP 66211
Phone 913 945-6900
CertificateType 4
CertificateEffectiveDate 6/13/2023
CertificateExpirationDate 6/12/2025
FacilityType Waiver

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