31D2023979 CLIA NUMBER - SUMMIT MEDICAL GROUP PA DBA SUMMIT HEALTH

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Laboratory Demographics

CLIA Number: 31D2023979

Facility Name: SUMMIT MEDICAL GROUP PA DBA SUMMIT HEALTH

Facility Address:
375 ROUTE 130 SUITE 103
EAST WINDSOR, NJ
ZIP 08520
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Facility Phone Number: 609 448-7800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730478314

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	31D2023979
LAB Type	Physician Office
Facility Name	SUMMIT MEDICAL GROUP PA DBA SUMMIT HEALTH
Street	375 ROUTE 130 SUITE 103
City	EAST WINDSOR
State	NJ
ZIP	08520
Phone	609 448-7800
CertificateType	4
CertificateEffectiveDate	5/6/2023
CertificateExpirationDate	5/5/2025
FacilityType	Waiver

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