34D1106891 CLIA NUMBER - EASTERN INTERNAL MEDICINE PA

Laboratory Demographics

CLIA Number: 34D1106891

Facility Name: EASTERN INTERNAL MEDICINE PA

Facility Address:
2635 TILGHMAN RD N.
WILSON, NC
ZIP 27896
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Facility Phone Number: 252 991-2067

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174858773

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 34D1106891
LAB Type Physician Office
Facility Name EASTERN INTERNAL MEDICINE PA
Street 2635 TILGHMAN RD N.
City WILSON
State NC
ZIP 27896
Phone 252 991-2067
CertificateType 4
CertificateEffectiveDate 10/23/2023
CertificateExpirationDate 10/22/2025
FacilityType Waiver

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