41D0083166 CLIA NUMBER - SUDHIR BANSAL MD & TEJ BANSAL MD

Laboratory Demographics

CLIA Number: 41D0083166

Facility Name: SUDHIR BANSAL MD & TEJ BANSAL MD

Facility Address:
215 TOLLGATE RD
WARWICK, RI
ZIP 02886
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Facility Phone Number: 401 732-6828

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356373633

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	41D0083166
LAB Type	Physician Office
Facility Name	SUDHIR BANSAL MD & TEJ BANSAL MD
Street	215 TOLLGATE RD
City	WARWICK
State	RI
ZIP	02886
Phone	401 732-6828
CertificateType	4
CertificateEffectiveDate	7/26/2023
CertificateExpirationDate	7/25/2025
FacilityType	Waiver

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