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31D2160280 CLIA NUMBER - INTEGRATIVE PEDIATRIC & ADOLESCENT CARE

Laboratory Demographics

CLIA Number: 31D2160280

Facility Name: INTEGRATIVE PEDIATRIC & ADOLESCENT CARE

Facility Address:
160 MOUNTAIN AVENUE, SUITE 100
HACKETTSTOWN, NJ
ZIP 07840
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Facility Phone Number: 908 852-8787

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1386281459

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 31D2160280
LAB Type Physician Office
Facility Name INTEGRATIVE PEDIATRIC & ADOLESCENT CARE
Street 160 MOUNTAIN AVENUE, SUITE 100
City HACKETTSTOWN
State NJ
ZIP 07840
Phone 908 852-8787
CertificateType 4
CertificateEffectiveDate 1/8/2023
CertificateExpirationDate 1/7/2025
FacilityType Waiver

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