39D2160997 CLIA NUMBER - MARTHA BARDSLEY MD LLC

Laboratory Demographics

CLIA Number: 39D2160997

Facility Name: MARTHA BARDSLEY MD LLC

Facility Address:
822 MONTGOMERY AVENUE, SUITE 205
NARBERTH, PA
ZIP 19072
Get Directions

Facility Phone Number: 610 601-3031

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1689759771

Taxonomy: 2080P0205X - Pediatrics
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

CLIA Record

Field Name	Field Value
CLIA Number	39D2160997
LAB Type	Physician Office
Facility Name	MARTHA BARDSLEY MD LLC
Street	822 MONTGOMERY AVENUE, SUITE 205
City	NARBERTH
State	PA
ZIP	19072
Phone	610 601-3031
CertificateType	4
CertificateEffectiveDate	1/24/2023
CertificateExpirationDate	1/23/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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