30D0087071 CLIA NUMBER - ATLANTIC DIGESTIVE SPECIALISTS, PLLC

Laboratory Demographics

CLIA Number: 30D0087071

Facility Name: ATLANTIC DIGESTIVE SPECIALISTS, PLLC

Facility Address:
21 CLARK WAY
SOMERSWORTH, NH
ZIP 03878
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Facility Phone Number: 603 749-2413

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316048069

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	30D0087071
LAB Type	Physician Office
Facility Name	ATLANTIC DIGESTIVE SPECIALISTS, PLLC
Street	21 CLARK WAY
City	SOMERSWORTH
State	NH
ZIP	03878
Phone	603 749-2413
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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