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36D0887661 CLIA NUMBER - KETTERING HEALTH MEDICAL GROUP INTERNAL MEDICINE CENTER

Laboratory Demographics

CLIA Number: 36D0887661

Facility Name: KETTERING HEALTH MEDICAL GROUP INTERNAL MEDICINE CENTER

Facility Address:
2115 LEITER ROAD, SUITE 300
MIAMISBURG, OH
ZIP 45342
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Facility Phone Number: 937 384-6800

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1487936795

Taxonomy: 208600000X - Surgery
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

CLIA Record

Field Name Field Value
CLIA Number 36D0887661
LAB Type Physician Office
Facility Name KETTERING HEALTH MEDICAL GROUP INTERNAL MEDICINE CENTER
Street 2115 LEITER ROAD, SUITE 300
City MIAMISBURG
State OH
ZIP 45342
Phone 937 384-6800
CertificateType 4
CertificateEffectiveDate 11/1/2022
CertificateExpirationDate 10/31/2024
FacilityType Waiver

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