36D0918326 CLIA NUMBER - SOUTH CENTRAL OHIO OB/GYN INC

Laboratory Demographics

CLIA Number: 36D0918326

Facility Name: SOUTH CENTRAL OHIO OB/GYN INC

Facility Address:
630 W MAIN STREET SUITE 307
WILMINGTON, OH
ZIP 45177
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Facility Phone Number: 937 383-1588

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1629038203

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	36D0918326
LAB Type	Physician Office
Facility Name	SOUTH CENTRAL OHIO OB/GYN INC
Street	630 W MAIN STREET SUITE 307
City	WILMINGTON
State	OH
ZIP	45177
Phone	937 383-1588
CertificateType	3
CertificateEffectiveDate	8/6/2022
CertificateExpirationDate	8/5/2024
FacilityType	PPMP

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