39D0696889 CLIA NUMBER - SURYA KUMARI VANGORE MD PC

Laboratory Demographics

CLIA Number: 39D0696889

Facility Name: SURYA KUMARI VANGORE MD PC

Facility Address:
431 WEST ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19120
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Facility Phone Number: 215 455-3444

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750565263

Taxonomy: 302R00000X - Health Maintenance Organization
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

CLIA Record

Field Name	Field Value
CLIA Number	39D0696889
LAB Type	Physician Office
Facility Name	SURYA KUMARI VANGORE MD PC
Street	431 WEST ROOSEVELT BLVD
City	PHILADELPHIA
State	PA
ZIP	19120
Phone	215 455-3444
CertificateType	4
CertificateEffectiveDate	5/5/2023
CertificateExpirationDate	5/4/2025
FacilityType	Waiver

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