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35D0966668 CLIA NUMBER - TRINITY HEALTH CENTER - MEDICAL ARTS

Laboratory Demographics

CLIA Number: 35D0966668

Facility Name: TRINITY HEALTH CENTER - MEDICAL ARTS

Facility Address:
400 BURDICK EXPWY EAST
MINOT, ND
ZIP 58701
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Facility Phone Number: 701 857-7000

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1629636204

Taxonomy: 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

CLIA Record

Field Name Field Value
CLIA Number 35D0966668
LAB Type Physician Office
Facility Name TRINITY HEALTH CENTER - MEDICAL ARTS
Street 400 BURDICK EXPWY EAST
City MINOT
State ND
ZIP 58701
Phone 701 857-7000
CertificateType 3
CertificateEffectiveDate 10/25/2023
CertificateExpirationDate 10/24/2025
FacilityType PPMP

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