33D2104138 CLIA NUMBER - NORTHPOINT MEDICAL ASSOICATES PC

Laboratory Demographics

CLIA Number: 33D2104138

Facility Name: NORTHPOINT MEDICAL ASSOICATES PC

Facility Address:
1301 SOUTHERN BOULEVARD, 2ND FLOOR
BRONX, NY
ZIP 10459
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Facility Phone Number: 914 414-9191

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1184015398

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2104138
LAB Type	Physician Office
Facility Name	NORTHPOINT MEDICAL ASSOICATES PC
Street	1301 SOUTHERN BOULEVARD, 2ND FLOOR
City	BRONX
State	NY
ZIP	10459
Phone	914 414-9191
CertificateType	4
CertificateEffectiveDate	10/28/2023
CertificateExpirationDate	10/27/2025
FacilityType	Waiver

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