34D2149398 CLIA NUMBER - LANDMARK MEDICAL OF NORTH CAROLINA, PC

Laboratory Demographics

CLIA Number: 34D2149398

Facility Name: LANDMARK MEDICAL OF NORTH CAROLINA, PC

Facility Address:
2520 MERIDIAN PARKWAY, SUITE 100
DURHAM, NC
ZIP 27713
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Facility Phone Number: 833 355-6036

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1326547514

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	34D2149398
LAB Type	Practitioner Other
Facility Name	LANDMARK MEDICAL OF NORTH CAROLINA, PC
Street	2520 MERIDIAN PARKWAY, SUITE 100
City	DURHAM
State	NC
ZIP	27713
Phone	833 355-6036
CertificateType	4
CertificateEffectiveDate	6/4/2022
CertificateExpirationDate	6/3/2024
FacilityType	Waiver

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