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36D1043355 CLIA NUMBER - PREMIUM PEDIATRICS INC

Laboratory Demographics

CLIA Number: 36D1043355

Facility Name: PREMIUM PEDIATRICS INC

Facility Address:
918 YOUNGSTOWN WARREN ROAD SUITE C
NILES, OH
ZIP 44446
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Facility Phone Number: 330 652-3100

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1497730550

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 36D1043355
LAB Type Physician Office
Facility Name PREMIUM PEDIATRICS INC
Street 918 YOUNGSTOWN WARREN ROAD SUITE C
City NILES
State OH
ZIP 44446
Phone 330 652-3100
CertificateType 4
CertificateEffectiveDate 7/21/2023
CertificateExpirationDate 7/20/2025
FacilityType Waiver

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