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37D0973256 CLIA NUMBER - SSM HEALTH MEDICAL GROUP FAMILY MEDICINE CHOCTAW

Laboratory Demographics

CLIA Number: 37D0973256

Facility Name: SSM HEALTH MEDICAL GROUP FAMILY MEDICINE CHOCTAW

Facility Address:
15679 NE 23RD STREET
CHOCTAW, OK
ZIP 73020
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Facility Phone Number: 405 390-9600

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1124108378

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 37D0973256
LAB Type Physician Office
Facility Name SSM HEALTH MEDICAL GROUP FAMILY MEDICINE CHOCTAW
Street 15679 NE 23RD STREET
City CHOCTAW
State OK
ZIP 73020
Phone 405 390-9600
CertificateType 4
CertificateEffectiveDate 5/9/2022
CertificateExpirationDate 5/8/2024
FacilityType Waiver

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