34D1002215 CLIA NUMBER - NOVANT HEALTH UNIVERSITY CITY INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 34D1002215

Facility Name: NOVANT HEALTH UNIVERSITY CITY INTERNAL MEDICINE

Facility Address:
8401 MEDICAL PLAZA DRIVE, SUITE 250
CHARLOTTE, NC
ZIP 28262
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Facility Phone Number: 704 384-1500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1093759136

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 34D1002215
LAB Type Physician Office
Facility Name NOVANT HEALTH UNIVERSITY CITY INTERNAL MEDICINE
Street 8401 MEDICAL PLAZA DRIVE, SUITE 250
City CHARLOTTE
State NC
ZIP 28262
Phone 704 384-1500
CertificateType 4
CertificateEffectiveDate 7/18/2023
CertificateExpirationDate 7/17/2025
FacilityType Waiver

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