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29D2028366 CLIA NUMBER - MICHAEL JACOBS MD

Laboratory Demographics

CLIA Number: 29D2028366

Facility Name: MICHAEL JACOBS MD

Facility Address:
3017 W CHARLESTON STE 60
LAS VEGAS, NV
ZIP 89102
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Facility Phone Number: 702 778-5100

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1053300913

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 29D2028366
LAB Type Physician Office
Facility Name MICHAEL JACOBS MD
Street 3017 W CHARLESTON STE 60
City LAS VEGAS
State NV
ZIP 89102
Phone 702 778-5100
CertificateType 4
CertificateEffectiveDate 8/16/2023
CertificateExpirationDate 8/15/2025
FacilityType Waiver

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