45D0857251 CLIA NUMBER - ALFONSO RAMIREZ, MD

Laboratory Demographics

CLIA Number: 45D0857251

Facility Name: ALFONSO RAMIREZ, MD

Facility Address:
1121 W JEFFERSON BOULEVARD
DALLAS, TX
ZIP 75208
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Facility Phone Number: 972 943-5773

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1730158718

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	45D0857251
LAB Type	Physician Office
Facility Name	ALFONSO RAMIREZ, MD
Street	1121 W JEFFERSON BOULEVARD
City	DALLAS
State	TX
ZIP	75208
Phone	972 943-5773
CertificateType	3
CertificateEffectiveDate	5/24/2023
CertificateExpirationDate	5/23/2025
FacilityType	PPMP

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