36D0329299 CLIA NUMBER - WHITEHALL MEDICAL CENTER INC

Laboratory Demographics

CLIA Number: 36D0329299

Facility Name: WHITEHALL MEDICAL CENTER INC

Facility Address:
4254 E MAIN STREET
COLUMBUS, OH
ZIP 43213
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Facility Phone Number: 614 235-9944

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487795795

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	36D0329299
LAB Type	Physician Office
Facility Name	WHITEHALL MEDICAL CENTER INC
Street	4254 E MAIN STREET
City	COLUMBUS
State	OH
ZIP	43213
Phone	614 235-9944
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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