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45D0948785 CLIA NUMBER - STEVEN B SOTMAN MD

Laboratory Demographics

CLIA Number: 45D0948785

Facility Name: STEVEN B SOTMAN MD

Facility Address:
6100 HARRIS PARKWAY, SUITE 1210
FORT WORTH, TX
ZIP 76132
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Facility Phone Number: 817 877-3442

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1699920496

Taxonomy: 171W00000X - Contractor
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

CLIA Record

Field Name Field Value
CLIA Number 45D0948785
LAB Type Physician Office
Facility Name STEVEN B SOTMAN MD
Street 6100 HARRIS PARKWAY, SUITE 1210
City FORT WORTH
State TX
ZIP 76132
Phone 817 877-3442
CertificateType 4
CertificateEffectiveDate 7/20/2022
CertificateExpirationDate 7/19/2024
FacilityType Waiver

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