44D2265412 CLIA NUMBER - STATCARE PULMONARY CONSULTANTS-ATHENS

Laboratory Demographics

CLIA Number: 44D2265412

Facility Name: STATCARE PULMONARY CONSULTANTS-ATHENS

Facility Address:
719 COOK DRIVE #103
ATHENS, TN
ZIP 37303
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Facility Phone Number: 865 588-8831

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1932279346

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	44D2265412
LAB Type	Physician Office
Facility Name	STATCARE PULMONARY CONSULTANTS-ATHENS
Street	719 COOK DRIVE #103
City	ATHENS
State	TN
ZIP	37303
Phone	865 588-8831
CertificateType	4
CertificateEffectiveDate	7/27/2022
CertificateExpirationDate	7/26/2024
FacilityType	Waiver

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