36D2277804 CLIA NUMBER - SCOTT TOWNSHIP FIRE & EMS

Laboratory Demographics

CLIA Number: 36D2277804

Facility Name: SCOTT TOWNSHIP FIRE & EMS

Facility Address:
17955 ST RT 247
SEAMAN, OH
ZIP 45679
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Facility Phone Number: 937 515-5960

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1689371197

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	36D2277804
LAB Type	Ambulance
Facility Name	SCOTT TOWNSHIP FIRE & EMS
Street	17955 ST RT 247
City	SEAMAN
State	OH
ZIP	45679
Phone	937 515-5960
CertificateType	4
CertificateEffectiveDate	3/6/2023
CertificateExpirationDate	3/5/2025
FacilityType	Waiver

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