36D0868665 CLIA NUMBER - RONALD J HAUDENSCHILT MD

Laboratory Demographics

CLIA Number: 36D0868665

Facility Name: RONALD J HAUDENSCHILT MD

Facility Address:
5770 KARL ROAD
COLUMBUS, OH
ZIP 43229
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Facility Phone Number: 614 847-9933

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730173840

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	36D0868665
LAB Type	Physician Office
Facility Name	RONALD J HAUDENSCHILT MD
Street	5770 KARL ROAD
City	COLUMBUS
State	OH
ZIP	43229
Phone	614 847-9933
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