36D2073797 CLIA NUMBER - MIDDLETON TOWNSHIP FIRE/EMS

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Laboratory Demographics

CLIA Number: 36D2073797

Facility Name: MIDDLETON TOWNSHIP FIRE/EMS

Facility Address:
50683 RICHARDSON AVE
NEGLEY, OH
ZIP 44441
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Facility Phone Number: 330 426-2941

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1568008191

Taxonomy: 207PE0004X - Emergency Medicine
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

CLIA Record

Field Name	Field Value
CLIA Number	36D2073797
LAB Type	Ambulance
Facility Name	MIDDLETON TOWNSHIP FIRE/EMS
Street	50683 RICHARDSON AVE
City	NEGLEY
State	OH
ZIP	44441
Phone	330 426-2941
CertificateType	4
CertificateEffectiveDate	2/25/2024
CertificateExpirationDate	2/24/2026
FacilityType	Waiver

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