27D2027779 CLIA NUMBER - FULLER FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 27D2027779

Facility Name: FULLER FAMILY MEDICINE

Facility Address:
4045 AVENUE B
BILLINGS, MT
ZIP 59106
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Facility Phone Number: 406 651-9355

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1063700722

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 27D2027779
LAB Type Physician Office
Facility Name FULLER FAMILY MEDICINE
Street 4045 AVENUE B
City BILLINGS
State MT
ZIP 59106
Phone 406 651-9355
CertificateType 3
CertificateEffectiveDate 8/1/2023
CertificateExpirationDate 7/31/2025
FacilityType PPMP

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