44D0912027 CLIA NUMBER - MIDSTATE HEALTH ASSOCIATES INC

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Laboratory Demographics

CLIA Number: 44D0912027

Facility Name: MIDSTATE HEALTH ASSOCIATES INC

Facility Address:
2201 MURPHY AVENUE SUITE #220
NASHVILLE, TN
ZIP 37203
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Facility Phone Number: 615 329-0494

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740276450

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	44D0912027
LAB Type	Physician Office
Facility Name	MIDSTATE HEALTH ASSOCIATES INC
Street	2201 MURPHY AVENUE SUITE #220
City	NASHVILLE
State	TN
ZIP	37203
Phone	615 329-0494
CertificateType	4
CertificateEffectiveDate	4/5/2023
CertificateExpirationDate	4/4/2025
FacilityType	Waiver

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