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34D0655306 CLIA NUMBER - CPN, INC DBA ATRIUM HEALTH PRIMARY CARE CABARRUS FAMILY MEDICINE - MT PLEASANT

Laboratory Demographics

CLIA Number: 34D0655306

Facility Name: CPN, INC DBA ATRIUM HEALTH PRIMARY CARE CABARRUS FAMILY MEDICINE - MT PLEASANT

Facility Address:
8560 COOK STREET
MOUNT PLEASANT, NC
ZIP 28124
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Facility Phone Number: 704 436-6521

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1134420052

Taxonomy: 101Y00000X - Counselor
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

CLIA Record

Field Name Field Value
CLIA Number 34D0655306
LAB Type Physician Office
Facility Name CPN, INC DBA ATRIUM HEALTH PRIMARY CARE CABARRUS FAMILY MEDICINE - MT PLEASANT
Street 8560 COOK STREET
City MOUNT PLEASANT
State NC
ZIP 28124
Phone 704 436-6521
CertificateType 2
CertificateEffectiveDate 12/17/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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