34D0974047 CLIA NUMBER - PIEDMONT HEALTHCARE PA

Laboratory Demographics

CLIA Number: 34D0974047

Facility Name: PIEDMONT HEALTHCARE PA

Facility Address:
548 WILLIAMSON RD SUITE 6
MOORESVILLE, NC
ZIP 28117
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Facility Phone Number: 704 660-5520

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750854303

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 34D0974047
LAB Type Physician Office
Facility Name PIEDMONT HEALTHCARE PA
Street 548 WILLIAMSON RD SUITE 6
City MOORESVILLE
State NC
ZIP 28117
Phone 704 660-5520
CertificateType 4
CertificateEffectiveDate 5/25/2022
CertificateExpirationDate 5/24/2024
FacilityType Waiver

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