45D2057118 CLIA NUMBER - JOHN R PORTER, MD, PA

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Laboratory Demographics

CLIA Number: 45D2057118

Facility Name: JOHN R PORTER, MD, PA

Facility Address:
1112 N FLOYD ROAD, SUITE #10
RICHARDSON, TX
ZIP 75080
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Facility Phone Number: 972 235-6911

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1205803541

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	45D2057118
LAB Type	Physician Office
Facility Name	JOHN R PORTER, MD, PA
Street	1112 N FLOYD ROAD, SUITE #10
City	RICHARDSON
State	TX
ZIP	75080
Phone	972 235-6911
CertificateType	4
CertificateEffectiveDate	4/9/2023
CertificateExpirationDate	4/8/2025
FacilityType	Waiver

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