34D2214486 CLIA NUMBER - NBK ENTERPRISES, LLC DBA MARION MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 34D2214486

Facility Name: NBK ENTERPRISES, LLC DBA MARION MEDICAL CLINIC

Facility Address:
61 LOGAN ST
MARION, NC
ZIP 28752
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Facility Phone Number: 828 442-2845

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1831789817

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2214486
LAB Type	Physician Office
Facility Name	NBK ENTERPRISES, LLC DBA MARION MEDICAL CLINIC
Street	61 LOGAN ST
City	MARION
State	NC
ZIP	28752
Phone	828 442-2845
CertificateType	4
CertificateEffectiveDate	2/23/2023
CertificateExpirationDate	2/22/2025
FacilityType	Waiver

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