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36D2123201 CLIA NUMBER - PRIMED PHYSICIANS SPRINGBORO PEDIATRICS

Laboratory Demographics

CLIA Number: 36D2123201

Facility Name: PRIMED PHYSICIANS SPRINGBORO PEDIATRICS

Facility Address:
3333 WEST TECH ROAD, STE 120
MIAMISBURG, OH
ZIP 45342
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Facility Phone Number: 937 748-6116

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1639136013

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 36D2123201
LAB Type Physician Office
Facility Name PRIMED PHYSICIANS SPRINGBORO PEDIATRICS
Street 3333 WEST TECH ROAD, STE 120
City MIAMISBURG
State OH
ZIP 45342
Phone 937 748-6116
CertificateType 4
CertificateEffectiveDate 12/14/2022
CertificateExpirationDate 12/13/2024
FacilityType Waiver

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