31D2150953 CLIA NUMBER - GRACE MEDICAL GROUP, LLC

Laboratory Demographics

CLIA Number: 31D2150953

Facility Name: GRACE MEDICAL GROUP, LLC

Facility Address:
1600 SAINT GEORGES AVENUE, SUITE 118
RAHWAY, NJ
ZIP 07065
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Facility Phone Number: 848 236-5091

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003323155

Taxonomy: 2084P0800X - Psychiatry & Neurology
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

CLIA Record

Field Name	Field Value
CLIA Number	31D2150953
LAB Type	Physician Office
Facility Name	GRACE MEDICAL GROUP, LLC
Street	1600 SAINT GEORGES AVENUE, SUITE 118
City	RAHWAY
State	NJ
ZIP	07065
Phone	848 236-5091
CertificateType	4
CertificateEffectiveDate	7/9/2022
CertificateExpirationDate	7/8/2024
FacilityType	Waiver

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