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39D1001208 CLIA NUMBER - TABOR ADAMS INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 39D1001208

Facility Name: TABOR ADAMS INTERNAL MEDICINE

Facility Address:
6420 RISING SUN AVENUE
PHILADELPHIA, PA
ZIP 19111
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Facility Phone Number: 215 725-7550

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1346337581

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 39D1001208
LAB Type Physician Office
Facility Name TABOR ADAMS INTERNAL MEDICINE
Street 6420 RISING SUN AVENUE
City PHILADELPHIA
State PA
ZIP 19111
Phone 215 725-7550
CertificateType 4
CertificateEffectiveDate 4/1/2023
CertificateExpirationDate 3/31/2025
FacilityType Waiver

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