41D0713087 CLIA NUMBER - BROADWAY OB/GYN

Laboratory Demographics

CLIA Number: 41D0713087

Facility Name: BROADWAY OB/GYN

Facility Address:
695 EDDY ST STE 21
PROVIDENCE, RI
ZIP 02903
Get Directions

Facility Phone Number: 401 272-1550

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1831315548

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	41D0713087
LAB Type	Physician Office
Facility Name	BROADWAY OB/GYN
Street	695 EDDY ST STE 21
City	PROVIDENCE
State	RI
ZIP	02903
Phone	401 272-1550
CertificateType	4
CertificateEffectiveDate	11/27/2023
CertificateExpirationDate	11/26/2025
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