34D0875752 CLIA NUMBER - PIEDMONT GYN-OB AT BALLANTYNE

Laboratory Demographics

CLIA Number: 34D0875752

Facility Name: PIEDMONT GYN-OB AT BALLANTYNE

Facility Address:
15110 JOHN J DELANEY DRIVE STE 100
CHARLOTTE, NC
ZIP 28277
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Facility Phone Number: 704 512-5100

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1932424413

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	34D0875752
LAB Type	Physician Office
Facility Name	PIEDMONT GYN-OB AT BALLANTYNE
Street	15110 JOHN J DELANEY DRIVE STE 100
City	CHARLOTTE
State	NC
ZIP	28277
Phone	704 512-5100
CertificateType	3
CertificateEffectiveDate	7/25/2023
CertificateExpirationDate	7/24/2025
FacilityType	PPMP

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