31D0944771 CLIA NUMBER - SUMMIT MEDICAL GROUP DBA SUMMIT HEALTH

Laboratory Demographics

CLIA Number: 31D0944771

Facility Name: SUMMIT MEDICAL GROUP DBA SUMMIT HEALTH

Facility Address:
560 SPRINGFIELD AVENUE
WESTFIELD, NJ
ZIP 07090
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Facility Phone Number: 908 460-8930

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306573233

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	31D0944771
LAB Type	Physician Office
Facility Name	SUMMIT MEDICAL GROUP DBA SUMMIT HEALTH
Street	560 SPRINGFIELD AVENUE
City	WESTFIELD
State	NJ
ZIP	07090
Phone	908 460-8930
CertificateType	4
CertificateEffectiveDate	4/20/2024
CertificateExpirationDate	4/19/2026
FacilityType	Waiver

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