41D0877661 CLIA NUMBER - JOHN J SOLOMON JR DO

Laboratory Demographics

CLIA Number: 41D0877661

Facility Name: JOHN J SOLOMON JR DO

Facility Address:
594 GREAT ROAD, SUITE 103
NORTH SMITHFIELD, RI
ZIP 02896
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Facility Phone Number: 401 768-3700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1861529158

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 41D0877661
LAB Type Physician Office
Facility Name JOHN J SOLOMON JR DO
Street 594 GREAT ROAD, SUITE 103
City NORTH SMITHFIELD
State RI
ZIP 02896
Phone 401 768-3700
CertificateType 4
CertificateEffectiveDate 9/26/2022
CertificateExpirationDate 9/25/2024
FacilityType Waiver

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