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33D2060531 CLIA NUMBER - MEETING HOUSE LANE MEDICAL PRACTICE PC

Laboratory Demographics

CLIA Number: 33D2060531

Facility Name: MEETING HOUSE LANE MEDICAL PRACTICE PC

Facility Address:
325 MEETING HOUSE LANE - BLDG 2 STE 403
SOUTHAMPTON, NY
ZIP 11969
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Facility Phone Number: 631 283-2100

Facility Type: Community Clinic

Certificate Type: Microscopy
NPI Number: 1902088495

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 33D2060531
LAB Type Community Clinic
Facility Name MEETING HOUSE LANE MEDICAL PRACTICE PC
Street 325 MEETING HOUSE LANE - BLDG 2 STE 403
City SOUTHAMPTON
State NY
ZIP 11969
Phone 631 283-2100
CertificateType 3
CertificateEffectiveDate 1/6/2015
CertificateExpirationDate 3/26/2027
FacilityType PPMP

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