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26D2272796 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE TRUMAN

Laboratory Demographics

CLIA Number: 26D2272796

Facility Name: CENTERWELL SENIOR PRIMARY CARE TRUMAN

Facility Address:
300 N OSAGE STREET SUITE 200
INDEPENDENCE, MO
ZIP 64050
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Facility Phone Number: 816 623-6503

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1629785613

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 26D2272796
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE TRUMAN
Street 300 N OSAGE STREET SUITE 200
City INDEPENDENCE
State MO
ZIP 64050
Phone 816 623-6503
CertificateType 4
CertificateEffectiveDate 11/29/2022
CertificateExpirationDate 11/28/2024
FacilityType Waiver

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