44D0923038 CLIA NUMBER - MOHAMMED B KHAN MD

Laboratory Demographics

CLIA Number: 44D0923038

Facility Name: MOHAMMED B KHAN MD

Facility Address:
6005 PARK AVE #405
MEMPHIS, TN
ZIP 38119
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Facility Phone Number: 901 369-6010

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1235181710

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	44D0923038
LAB Type	Physician Office
Facility Name	MOHAMMED B KHAN MD
Street	6005 PARK AVE #405
City	MEMPHIS
State	TN
ZIP	38119
Phone	901 369-6010
CertificateType	3
CertificateEffectiveDate	12/13/2022
CertificateExpirationDate	12/12/2024
FacilityType	PPMP

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