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36D1063515 CLIA NUMBER - PAUL A CHANG MD INC

Laboratory Demographics

CLIA Number: 36D1063515

Facility Name: PAUL A CHANG MD INC

Facility Address:
2558 WEST FOURTH STREET
MANSFIELD, OH
ZIP 44906
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Facility Phone Number: 419 529-4100

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1245217496

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 36D1063515
LAB Type Physician Office
Facility Name PAUL A CHANG MD INC
Street 2558 WEST FOURTH STREET
City MANSFIELD
State OH
ZIP 44906
Phone 419 529-4100
CertificateType 4
CertificateEffectiveDate 1/16/2023
CertificateExpirationDate 1/15/2025
FacilityType Waiver

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