44D2038359 CLIA NUMBER - RANDY VILLANUEVA MD PC

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Laboratory Demographics

CLIA Number: 44D2038359

Facility Name: RANDY VILLANUEVA MD PC

Facility Address:
7796 WOLF TRAIL, SUITE 201
GERMANTOWN, TN
ZIP 38138
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Facility Phone Number: 901 818-3921

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1083666234

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	44D2038359
LAB Type	Physician Office
Facility Name	RANDY VILLANUEVA MD PC
Street	7796 WOLF TRAIL, SUITE 201
City	GERMANTOWN
State	TN
ZIP	38138
Phone	901 818-3921
CertificateType	4
CertificateEffectiveDate	3/20/2024
CertificateExpirationDate	3/19/2026
FacilityType	Waiver

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