44D2146625 CLIA NUMBER - OBSTETRICS AND MEDICINE PLLC

Laboratory Demographics

CLIA Number: 44D2146625

Facility Name: OBSTETRICS AND MEDICINE PLLC

Facility Address:
6005 PARK AVENUE SUITE 310
MEMPHIS, TN
ZIP 38119
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Facility Phone Number: 901 763-0833

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265766877

Taxonomy: 207VX0000X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	44D2146625
LAB Type	Physician Office
Facility Name	OBSTETRICS AND MEDICINE PLLC
Street	6005 PARK AVENUE SUITE 310
City	MEMPHIS
State	TN
ZIP	38119
Phone	901 763-0833
CertificateType	4
CertificateEffectiveDate	4/3/2024
CertificateExpirationDate	4/2/2026
FacilityType	Waiver

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