39D0710752 CLIA NUMBER - TPI BAIOCCHI

Laboratory Demographics

CLIA Number: 39D0710752

Facility Name: TPI BAIOCCHI

Facility Address:
525 JAMESTOWN AVE SUITE 201
PHILADELPHIA, PA
ZIP 19128
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Facility Phone Number: 215 482-2412

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316098635

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	39D0710752
LAB Type	Physician Office
Facility Name	TPI BAIOCCHI
Street	525 JAMESTOWN AVE SUITE 201
City	PHILADELPHIA
State	PA
ZIP	19128
Phone	215 482-2412
CertificateType	4
CertificateEffectiveDate	2/24/2024
CertificateExpirationDate	2/23/2026
FacilityType	Waiver

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