33D2103532 CLIA NUMBER - CITY MEDICAL OF UPPER EAST SIDE PLLC

Laboratory Demographics

CLIA Number: 33D2103532

Facility Name: CITY MEDICAL OF UPPER EAST SIDE PLLC

Facility Address:
2146 BARTOW AVENUE
BRONX, NY
ZIP 10475
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Facility Phone Number: (646) 346-7927

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1811364201

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2103532
LAB Type	PHYSICIAN OFFICE
Facility Name	CITY MEDICAL OF UPPER EAST SIDE PLLC
Street	2146 BARTOW AVENUE
City	BRONX
State	NY
ZIP	10475
Phone	(646) 346-7927

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This page was last updated on: 5/11/2023