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44D1033179 CLIA NUMBER - GOODLIFE MEDICAL CENTER PLLC

Laboratory Demographics

CLIA Number: 44D1033179

Facility Name: GOODLIFE MEDICAL CENTER PLLC

Facility Address:
1719 KIRBY PKWY
MEMPHIS, TN
ZIP 38120
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Facility Phone Number: 901 685-1994

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1811041668

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 44D1033179
LAB Type Physician Office
Facility Name GOODLIFE MEDICAL CENTER PLLC
Street 1719 KIRBY PKWY
City MEMPHIS
State TN
ZIP 38120
Phone 901 685-1994
CertificateType 4
CertificateEffectiveDate 6/7/2023
CertificateExpirationDate 6/6/2025
FacilityType Waiver

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