44D0670151 CLIA NUMBER - MID-SOUTH INTERNAL MEDICINE SPECIALISTS PC

Laboratory Demographics

CLIA Number: 44D0670151

Facility Name: MID-SOUTH INTERNAL MEDICINE SPECIALISTS PC

Facility Address:
7550 WOLF RIVER BLVD SUITE 102
GERMANTOWN, TN
ZIP 38138
Get Directions

Facility Phone Number: 901 767-5000

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1376010850

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D0670151
LAB Type	Physician Office
Facility Name	MID-SOUTH INTERNAL MEDICINE SPECIALISTS PC
Street	7550 WOLF RIVER BLVD SUITE 102
City	GERMANTOWN
State	TN
ZIP	38138
Phone	901 767-5000
CertificateType	2
CertificateEffectiveDate	11/3/2022
CertificateExpirationDate	11/2/2024
FacilityType	Compliance

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