31D0122300 CLIA NUMBER - ASSOCIATED PODIATRIC PHYSICIANS PA

Laboratory Demographics

CLIA Number: 31D0122300

Facility Name: ASSOCIATED PODIATRIC PHYSICIANS PA

Facility Address:
1300 SOUTH OLDEN AVENUE
HAMILTON, NJ
ZIP 08610
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Facility Phone Number: 609 586-7111

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1588691810

Taxonomy: 213E00000X - Podiatrist
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

CLIA Record

Field Name	Field Value
CLIA Number	31D0122300
LAB Type	Practitioner Other
Facility Name	ASSOCIATED PODIATRIC PHYSICIANS PA
Street	1300 SOUTH OLDEN AVENUE
City	HAMILTON
State	NJ
ZIP	08610
Phone	609 586-7111
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