34D2034748 CLIA NUMBER - MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE, PA

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Laboratory Demographics

CLIA Number: 34D2034748

Facility Name: MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE, PA

Facility Address:
130 CARDINAL DRIVE
ROANOKE RAPIDS, NC
ZIP 27870
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Facility Phone Number: 252 308-0686

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073043436

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	34D2034748
LAB Type	Physician Office
Facility Name	MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE, PA
Street	130 CARDINAL DRIVE
City	ROANOKE RAPIDS
State	NC
ZIP	27870
Phone	252 308-0686
CertificateType	4
CertificateEffectiveDate	1/4/2024
CertificateExpirationDate	1/3/2026
FacilityType	Waiver

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