44D2004551 CLIA NUMBER - MEDICAL EDUCATION ASSISTANCE CORPORATION DBA ETSU PHYSICIANS AND ASSOCIATES

Laboratory Demographics

CLIA Number: 44D2004551

Facility Name: MEDICAL EDUCATION ASSISTANCE CORPORATION DBA ETSU PHYSICIANS AND ASSOCIATES

Facility Address:
1319 SUNSET DR, SUITE 103
JOHNSON CITY, TN
ZIP 37604
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Facility Phone Number: 423 439-7246

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1013130103

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 44D2004551
LAB Type Physician Office
Facility Name MEDICAL EDUCATION ASSISTANCE CORPORATION DBA ETSU PHYSICIANS AND ASSOCIATES
Street 1319 SUNSET DR, SUITE 103
City JOHNSON CITY
State TN
ZIP 37604
Phone 423 439-7246
CertificateType 2
CertificateEffectiveDate 3/21/2023
CertificateExpirationDate 3/20/2025
FacilityType Compliance

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