44D1068354 CLIA NUMBER - MARSHALL MEDICAL CENTER DBA MRMG MOB

Laboratory Demographics

CLIA Number: 44D1068354

Facility Name: MARSHALL MEDICAL CENTER DBA MRMG MOB

Facility Address:
1222 TROTWOOD AVENUE SUITE 603
COLUMBIA, TN
ZIP 38401
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Facility Phone Number: 931 490-1295

Facility Type: Rural Health Clinic

Certificate Type: Microscopy

NPI Number: 1912527250

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	44D1068354
LAB Type	Rural Health Clinic
Facility Name	MARSHALL MEDICAL CENTER DBA MRMG MOB
Street	1222 TROTWOOD AVENUE SUITE 603
City	COLUMBIA
State	TN
ZIP	38401
Phone	931 490-1295
CertificateType	3
CertificateEffectiveDate	5/9/2023
CertificateExpirationDate	5/8/2025
FacilityType	PPMP

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