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34D0971906 CLIA NUMBER - ONCOLOGY SPECIALISTS OF CHARLOTTE

Laboratory Demographics

CLIA Number: 34D0971906

Facility Name: ONCOLOGY SPECIALISTS OF CHARLOTTE

Facility Address:
2711 RANDOLPH ROAD, SUITE 400
CHARLOTTE, NC
ZIP 28207
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Facility Phone Number: 704 342-1900

Facility Type: Physician Office

Certificate Type: Accreditation
NPI Number: 1467406736

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name Field Value
CLIA Number 34D0971906
LAB Type Physician Office
Facility Name ONCOLOGY SPECIALISTS OF CHARLOTTE
Street 2711 RANDOLPH ROAD, SUITE 400
City CHARLOTTE
State NC
ZIP 28207
Phone 704 342-1900
CertificateType 1
CertificateEffectiveDate 12/10/2023
CertificateExpirationDate 12/9/2025
FacilityType Accreditation

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