33D2130509 CLIA NUMBER - DIVINITY MEDICAL SERVICES PLLC

Laboratory Demographics

CLIA Number: 33D2130509

Facility Name: DIVINITY MEDICAL SERVICES PLLC

Facility Address:
332 EAST 149TH STREET
BRONX, NY
ZIP 10451
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Facility Phone Number: (347) 329-4010

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1962935163

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	33D2130509
LAB Type	PHYSICIAN OFFICE
Facility Name	DIVINITY MEDICAL SERVICES PLLC
Street	332 EAST 149TH STREET
City	BRONX
State	NY
ZIP	10451
Phone	(347) 329-4010

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