36D0350269 CLIA NUMBER - PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD

Laboratory Demographics

CLIA Number: 36D0350269

Facility Name: PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD

Facility Address:
6551 CENTERVILLE BUSINESS PARKWAY
DAYTON, OH
ZIP 45459
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Facility Phone Number: 937 291-6830

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1013975465

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	36D0350269
LAB Type	Physician Office
Facility Name	PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD
Street	6551 CENTERVILLE BUSINESS PARKWAY
City	DAYTON
State	OH
ZIP	45459
Phone	937 291-6830
CertificateType	4
CertificateEffectiveDate	10/24/2022
CertificateExpirationDate	10/23/2024
FacilityType	Waiver

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