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41D0083792 CLIA NUMBER - OUR LADY OF FATIMA HOSPITAL-PATHOLOGY

Laboratory Demographics

CLIA Number: 41D0083792

Facility Name: OUR LADY OF FATIMA HOSPITAL-PATHOLOGY

Facility Address:
200 HIGH SERVICE AVENUE ATTN MARIA TRIVINO ACCTS PAYABLE
NORTH PROVIDENCE, RI
ZIP 02904
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Facility Phone Number: 401 456-3910

Facility Type: Hospital

Certificate Type: Accreditation
NPI Number: 1588089759

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 41D0083792
LAB Type Hospital
Facility Name OUR LADY OF FATIMA HOSPITAL-PATHOLOGY
Street 200 HIGH SERVICE AVENUE ATTN MARIA TRIVINO ACCTS PAYABLE
City NORTH PROVIDENCE
State RI
ZIP 02904
Phone 401 456-3910
CertificateType 1
CertificateEffectiveDate 4/28/2023
CertificateExpirationDate 4/27/2025
FacilityType Accreditation

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