36D1106881 CLIA NUMBER - SUMMA PHYSICIANS INC - FAMILY MEDICINE SOUTH MAIN

Laboratory Demographics

CLIA Number: 36D1106881

Facility Name: SUMMA PHYSICIANS INC - FAMILY MEDICINE SOUTH MAIN

Facility Address:
388 SOUTH MAIN STREET SUITE 207
AKRON, OH
ZIP 44311
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Facility Phone Number: 330 773-7866

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215113337

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	36D1106881
LAB Type	Physician Office
Facility Name	SUMMA PHYSICIANS INC - FAMILY MEDICINE SOUTH MAIN
Street	388 SOUTH MAIN STREET SUITE 207
City	AKRON
State	OH
ZIP	44311
Phone	330 773-7866
CertificateType	4
CertificateEffectiveDate	10/23/2023
CertificateExpirationDate	10/22/2025
FacilityType	Waiver

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