44D0942935 CLIA NUMBER - MAHMOOD A SIDDIQUI MD

Laboratory Demographics

  • CLIA Code: 44D0942935
  • Facility Name: MAHMOOD A SIDDIQUI MD
  • Facility Address: 144 MEDICAL CENTER DRIVE SUITE B
    COPPERHILL, TN
    ZIP 37317
  • Facility Phone: 423 496-9214
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MAHMOOD A. SIDDIQUI MD
  • NPI Number: 1568439453
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0942935
LAB Type Physician Office
Facility Name MAHMOOD A SIDDIQUI MD
Street 144 MEDICAL CENTER DRIVE SUITE B
City COPPERHILL
State TN
ZIP 37317
Phone 423 496-9214
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Physician Office
Lab Director MAHMOOD A. SIDDIQUI MD

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This page was last updated on: 9/29/2025