34D2147546 CLIA NUMBER - NOVANT HEALTH SENIOR CARE MATTHEWS

Laboratory Demographics

CLIA Number: 34D2147546

Facility Name: NOVANT HEALTH SENIOR CARE MATTHEWS

Facility Address:
1450 MATTHEWS TOWNSHIP PARKWAY ,SUITE 400
MATTHEWS, NC
ZIP 28105
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Facility Phone Number: 704 316-5140

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710480066

Taxonomy: 207RG0300X - Internal Medicine
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

CLIA Record

Field Name	Field Value
CLIA Number	34D2147546
LAB Type	Physician Office
Facility Name	NOVANT HEALTH SENIOR CARE MATTHEWS
Street	1450 MATTHEWS TOWNSHIP PARKWAY ,SUITE 400
City	MATTHEWS
State	NC
ZIP	28105
Phone	704 316-5140
CertificateType	4
CertificateEffectiveDate	4/22/2024
CertificateExpirationDate	4/21/2026
FacilityType	Waiver

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