33D1048384 CLIA NUMBER - MARC D PRICE DO PLLC DBA FAMILY MEDICINE OF MALTA

Laboratory Demographics

CLIA Number: 33D1048384

Facility Name: MARC D PRICE DO PLLC DBA FAMILY MEDICINE OF MALTA

Facility Address:
2299 ROUTE 9
MECHANICVILLE, NY
ZIP 12118
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Facility Phone Number: 518 899-5390

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1346445194

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 33D1048384
LAB Type Physician Office
Facility Name MARC D PRICE DO PLLC DBA FAMILY MEDICINE OF MALTA
Street 2299 ROUTE 9
City MECHANICVILLE
State NY
ZIP 12118
Phone 518 899-5390
CertificateType 3
CertificateEffectiveDate 11/30/2023
CertificateExpirationDate 11/29/2025
FacilityType PPMP

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