45D1002484 CLIA NUMBER - EDID RAMOS MD PA

Laboratory Demographics

CLIA Number: 45D1002484

Facility Name: EDID RAMOS MD PA

Facility Address:
315 E PLEASANT RUN ROAD
DESOTO, TX
ZIP 75115
Get Directions

Facility Phone Number: 972 228-4888

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255480141

Taxonomy: 207RG0300X - Internal Medicine
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

CLIA Record

Field Name	Field Value
CLIA Number	45D1002484
LAB Type	Physician Office
Facility Name	EDID RAMOS MD PA
Street	315 E PLEASANT RUN ROAD
City	DESOTO
State	TX
ZIP	75115
Phone	972 228-4888
CertificateType	4
CertificateEffectiveDate	8/7/2022
CertificateExpirationDate	8/6/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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