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36D2235744 CLIA NUMBER - CENTRAL OHIO MEDICAL MANAGEMENT LLC DBA DR GINA NICHOLS FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 36D2235744

Facility Name: CENTRAL OHIO MEDICAL MANAGEMENT LLC DBA DR GINA NICHOLS FAMILY MEDICINE

Facility Address:
1755 LANCASTER AVE
REYNOLDSBURG, OH
ZIP 43068
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Facility Phone Number: 614 577-1958

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1356094494

Taxonomy: 207RI0200X - Internal Medicine
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

CLIA Record

Field Name Field Value
CLIA Number 36D2235744
LAB Type Physician Office
Facility Name CENTRAL OHIO MEDICAL MANAGEMENT LLC DBA DR GINA NICHOLS FAMILY MEDICINE
Street 1755 LANCASTER AVE
City REYNOLDSBURG
State OH
ZIP 43068
Phone 614 577-1958
CertificateType 4
CertificateEffectiveDate 9/10/2023
CertificateExpirationDate 9/9/2025
FacilityType Waiver

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