Healther Providers Data Logo

37D2038361 CLIA NUMBER - FUNCTIONAL MEDICAL INSTITUTE

Laboratory Demographics

CLIA Number: 37D2038361

Facility Name: FUNCTIONAL MEDICAL INSTITUTE

Facility Address:
6048 SOUTH SHERIDAN, SUITE E
TULSA, OK
ZIP 74145
Get Directions

Facility Phone Number: 918 960-0595

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1720354202

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 37D2038361
LAB Type Physician Office
Facility Name FUNCTIONAL MEDICAL INSTITUTE
Street 6048 SOUTH SHERIDAN, SUITE E
City TULSA
State OK
ZIP 74145
Phone 918 960-0595
CertificateType 4
CertificateEffectiveDate 3/20/2024
CertificateExpirationDate 3/19/2026
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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