39D2024656 CLIA NUMBER - XIAOLI MA PC

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Laboratory Demographics

CLIA Number: 39D2024656

Facility Name: XIAOLI MA PC

Facility Address:
121 N 9TH STREET
PHILADELPHIA, PA
ZIP 19107
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Facility Phone Number: 215 629-8866

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1558300152

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	39D2024656
LAB Type	Physician Office
Facility Name	XIAOLI MA PC
Street	121 N 9TH STREET
City	PHILADELPHIA
State	PA
ZIP	19107
Phone	215 629-8866
CertificateType	4
CertificateEffectiveDate	5/20/2023
CertificateExpirationDate	5/19/2025
FacilityType	Waiver

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