Healther Providers Data Logo

31D0122687 CLIA NUMBER - SOMC MEDICAL GROUP, PC

Laboratory Demographics

CLIA Number: 31D0122687

Facility Name: SOMC MEDICAL GROUP, PC

Facility Address:
27 S COOKSBRIDGE ROAD, ST 1-5
JACKSON, NJ
ZIP 08527
Get Directions

Facility Phone Number: 732 370-4222

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1699004606

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 31D0122687
LAB Type Physician Office
Facility Name SOMC MEDICAL GROUP, PC
Street 27 S COOKSBRIDGE ROAD, ST 1-5
City JACKSON
State NJ
ZIP 08527
Phone 732 370-4222
CertificateType 4
CertificateEffectiveDate 9/12/2023
CertificateExpirationDate 9/11/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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