31D2130081 CLIA NUMBER - INTERNET MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 31D2130081
  • Facility Name: INTERNET MEDICAL GROUP
  • Facility Address: 181 FRANKLIN AVENUE
    NUTLEY, NJ
    ZIP 07110
  • Facility Phone: 973 667-8117
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD VECCHIONE
  • NPI Number: 1720044555
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2130081
LAB Type Physician Office
Facility Name INTERNET MEDICAL GROUP
Street 181 FRANKLIN AVENUE
City NUTLEY
State NJ
ZIP 07110
Phone 973 667-8117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Physician Office
Lab Director EDWARD VECCHIONE

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This page was last updated on: 9/29/2025