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36D2133737 CLIA NUMBER - PREMIER PHYSICIANS CENTERS, INC

Laboratory Demographics

CLIA Number: 36D2133737

Facility Name: PREMIER PHYSICIANS CENTERS, INC

Facility Address:
21851 CENTER RIDGE ROAD SUITE 107
ROCKY RIVER, OH
ZIP 44116
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Facility Phone Number: 216 221-7642

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1922301555

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 36D2133737
LAB Type Physician Office
Facility Name PREMIER PHYSICIANS CENTERS, INC
Street 21851 CENTER RIDGE ROAD SUITE 107
City ROCKY RIVER
State OH
ZIP 44116
Phone 216 221-7642
CertificateType 4
CertificateEffectiveDate 7/19/2023
CertificateExpirationDate 7/18/2025
FacilityType Waiver

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