33D2270645 CLIA NUMBER - YI JIA GI MEDICAL PC

Laboratory Demographics

CLIA Number: 33D2270645

Facility Name: YI JIA GI MEDICAL PC

Facility Address:
70 W 36 STREET, UNIT 5C
NEW YORK, NY
ZIP 10018
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Facility Phone Number: 917 338-7680

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225398704

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	33D2270645
LAB Type	Physician Office
Facility Name	YI JIA GI MEDICAL PC
Street	70 W 36 STREET, UNIT 5C
City	NEW YORK
State	NY
ZIP	10018
Phone	917 338-7680
CertificateType	4
CertificateEffectiveDate	10/19/2022
CertificateExpirationDate	10/18/2024
FacilityType	Waiver

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