36D2058782 CLIA NUMBER - INTERNAL MEDICINE GROUP INC

Laboratory Demographics

  • CLIA Code: 36D2058782
  • Facility Name: INTERNAL MEDICINE GROUP INC
  • Facility Address: 88 CENTER RD STE 350
    BEDFORD, OH
    ZIP 44146
  • Facility Phone: 440 439-7766
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KANDASAMY UMAPATHY
  • NPI Number: 1588664502
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2058782
LAB Type Physician Office
Facility Name INTERNAL MEDICINE GROUP INC
Street 88 CENTER RD STE 350
City BEDFORD
State OH
ZIP 44146
Phone 440 439-7766
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director KANDASAMY UMAPATHY

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This page was last updated on: 9/29/2025