33D0968393 CLIA NUMBER - PREMIER MEDICAL GROUP OF THE HUDSON VALLEY

Laboratory Demographics

CLIA Number: 33D0968393

Facility Name: PREMIER MEDICAL GROUP OF THE HUDSON VALLEY

Facility Address:
400 WESTAGE BUSINESS CENTER, SUITE 210
FISHKILL, NY
ZIP 12524
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Facility Phone Number: 845 790-6100

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1255888079

Taxonomy: 213E00000X - Podiatrist
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

CLIA Record

Field Name	Field Value
CLIA Number	33D0968393
LAB Type	Physician Office
Facility Name	PREMIER MEDICAL GROUP OF THE HUDSON VALLEY
Street	400 WESTAGE BUSINESS CENTER, SUITE 210
City	FISHKILL
State	NY
ZIP	12524
Phone	845 790-6100
CertificateType	3
CertificateEffectiveDate	8/26/2023
CertificateExpirationDate	8/25/2025
FacilityType	PPMP

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