39D0200481 CLIA NUMBER - ROXBOROUGH MEMORIAL HOSPITAL PRIME HEALTHCARE SERVICES-ROXBOROUGH, LLC

Laboratory Demographics

CLIA Number: 39D0200481

Facility Name: ROXBOROUGH MEMORIAL HOSPITAL PRIME HEALTHCARE SERVICES-ROXBOROUGH, LLC

Facility Address:
5800 RIDGE AVE
PHILADELPHIA, PA
ZIP 19128
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Facility Phone Number: 215 487-4395

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1134511157

Taxonomy: 207P00000X - Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CLIA Record

Field Name Field Value
CLIA Number 39D0200481
LAB Type Hospital
Facility Name ROXBOROUGH MEMORIAL HOSPITAL PRIME HEALTHCARE SERVICES-ROXBOROUGH, LLC
Street 5800 RIDGE AVE
City PHILADELPHIA
State PA
ZIP 19128
Phone 215 487-4395
CertificateType 1
CertificateEffectiveDate 2/28/2023
CertificateExpirationDate 2/27/2025
FacilityType Accreditation

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