44D1012672 CLIA NUMBER - PRIME OBSTETRICS & GYNECOLOGY PC

Laboratory Demographics

CLIA Number: 44D1012672

Facility Name: PRIME OBSTETRICS & GYNECOLOGY PC

Facility Address:
301 WOLVERINE TRAIL SUITE #102
SMYRNA, TN
ZIP 37167
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Facility Phone Number: 615 459-5228

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1831226000

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 44D1012672
LAB Type Physician Office
Facility Name PRIME OBSTETRICS & GYNECOLOGY PC
Street 301 WOLVERINE TRAIL SUITE #102
City SMYRNA
State TN
ZIP 37167
Phone 615 459-5228
CertificateType 3
CertificateEffectiveDate 10/2/2022
CertificateExpirationDate 10/1/2024
FacilityType PPMP

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