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34D0243039 CLIA NUMBER - CPN, INC DBA ATRIUM HEALTH PRIMARY CARE EASTRIDGE FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 34D0243039

Facility Name: CPN, INC DBA ATRIUM HEALTH PRIMARY CARE EASTRIDGE FAMILY MEDICINE

Facility Address:
1896 REMOUNT RD
GASTONIA, NC
ZIP 28054
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Facility Phone Number: 704 512-3930

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1477589158

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 34D0243039
LAB Type Physician Office
Facility Name CPN, INC DBA ATRIUM HEALTH PRIMARY CARE EASTRIDGE FAMILY MEDICINE
Street 1896 REMOUNT RD
City GASTONIA
State NC
ZIP 28054
Phone 704 512-3930
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