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41D1001082 CLIA NUMBER - KARDOUS PRIMARY CARE INC

Laboratory Demographics

CLIA Number: 41D1001082

Facility Name: KARDOUS PRIMARY CARE INC

Facility Address:
1145 RESERVOIR AVE SUITE 301
CRANSTON, RI
ZIP 02920
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Facility Phone Number: 401 946-5001

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1134102841

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 41D1001082
LAB Type Physician Office
Facility Name KARDOUS PRIMARY CARE INC
Street 1145 RESERVOIR AVE SUITE 301
City CRANSTON
State RI
ZIP 02920
Phone 401 946-5001
CertificateType 4
CertificateEffectiveDate 7/1/2022
CertificateExpirationDate 6/30/2024
FacilityType Waiver

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