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39D0185673 CLIA NUMBER - WELLSPAN INTERNAL MEDICINE - WILSON STREET

Laboratory Demographics

CLIA Number: 39D0185673

Facility Name: WELLSPAN INTERNAL MEDICINE - WILSON STREET

Facility Address:
220 WILSON STREET SUITE 109
CARLISLE, PA
ZIP 17013
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Facility Phone Number: 717 240-2424

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1639190978

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 39D0185673
LAB Type Physician Office
Facility Name WELLSPAN INTERNAL MEDICINE - WILSON STREET
Street 220 WILSON STREET SUITE 109
City CARLISLE
State PA
ZIP 17013
Phone 717 240-2424
CertificateType 4
CertificateEffectiveDate 1/30/2023
CertificateExpirationDate 1/29/2025
FacilityType Waiver

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