34D1047242 CLIA NUMBER - RAJ KUMAR JOSHI MD PLLC

Laboratory Demographics

CLIA Number: 34D1047242

Facility Name: RAJ KUMAR JOSHI MD PLLC

Facility Address:
276 OLD MOCKSVILLE ROAD UNIT 105
STATESVILLE, NC
ZIP 28625
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Facility Phone Number: 704 883-8262

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740293349

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 34D1047242
LAB Type Physician Office
Facility Name RAJ KUMAR JOSHI MD PLLC
Street 276 OLD MOCKSVILLE ROAD UNIT 105
City STATESVILLE
State NC
ZIP 28625
Phone 704 883-8262
CertificateType 4
CertificateEffectiveDate 10/31/2023
CertificateExpirationDate 10/30/2025
FacilityType Waiver

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