34D2028700 CLIA NUMBER - NOVANT HEALTH SOUTH CHARLOTTE ENDOCRINOLOGY

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Laboratory Demographics

CLIA Number: 34D2028700

Facility Name: NOVANT HEALTH SOUTH CHARLOTTE ENDOCRINOLOGY

Facility Address:
15825 BALLANTYNE MEDICAL PLACE, SUITE 220
CHARLOTTE, NC
ZIP 28277
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Facility Phone Number: 704 316-2930

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1992085971

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	34D2028700
LAB Type	Physician Office
Facility Name	NOVANT HEALTH SOUTH CHARLOTTE ENDOCRINOLOGY
Street	15825 BALLANTYNE MEDICAL PLACE, SUITE 220
City	CHARLOTTE
State	NC
ZIP	28277
Phone	704 316-2930
CertificateType	2
CertificateEffectiveDate	11/13/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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