33D2106906 CLIA NUMBER - MIDTOWN EAST MEDICAL SERVICES PC

Laboratory Demographics

CLIA Number: 33D2106906

Facility Name: MIDTOWN EAST MEDICAL SERVICES PC

Facility Address:
1163 PITTSFORD VICTOR RD - SUITE 140 BLDG 4
PITTSFORD, NY
ZIP 14534
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Facility Phone Number: 917 482-4803

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1801292800

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name Field Value
CLIA Number 33D2106906
LAB Type Mobile Laboratory
Facility Name MIDTOWN EAST MEDICAL SERVICES PC
Street 1163 PITTSFORD VICTOR RD - SUITE 140 BLDG 4
City PITTSFORD
State NY
ZIP 14534
Phone 917 482-4803
CertificateType 4
CertificateEffectiveDate 12/31/2015
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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