33D1078005 CLIA NUMBER - WESTERN NEW YORK IMMEDIATE MEDICAL CARE LLC

Laboratory Demographics

CLIA Number: 33D1078005

Facility Name: WESTERN NEW YORK IMMEDIATE MEDICAL CARE LLC

Facility Address:
4988 HARLEM RD
AMHERST, NY
ZIP 14226
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Facility Phone Number: 716 564-2273

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801074539

Taxonomy: 207P00000X - Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CLIA Record

Field Name Field Value
CLIA Number 33D1078005
LAB Type Physician Office
Facility Name WESTERN NEW YORK IMMEDIATE MEDICAL CARE LLC
Street 4988 HARLEM RD
City AMHERST
State NY
ZIP 14226
Phone 716 564-2273
CertificateType 4
CertificateEffectiveDate 4/11/2023
CertificateExpirationDate 4/10/2025
FacilityType Waiver

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