45D0858390 CLIA NUMBER - BASIL BERNSTEIN MD PA

Laboratory Demographics

CLIA Number: 45D0858390

Facility Name: BASIL BERNSTEIN MD PA

Facility Address:
7016 BRYANT IRVING ROAD, SUITE 100
FORT WORTH, TX
ZIP 76132
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Facility Phone Number: 817 377-8820

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1093976334

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	45D0858390
LAB Type	Physician Office
Facility Name	BASIL BERNSTEIN MD PA
Street	7016 BRYANT IRVING ROAD, SUITE 100
City	FORT WORTH
State	TX
ZIP	76132
Phone	817 377-8820
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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