45D2058925 CLIA NUMBER - RACHENETTA V STIMAGE MD PA

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Laboratory Demographics

CLIA Number: 45D2058925

Facility Name: RACHENETTA V STIMAGE MD PA

Facility Address:
4360 NORTH JOSEY LANE
CARROLLTON, TX
ZIP 75010
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Facility Phone Number: 972 492-7606

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1861601049

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	45D2058925
LAB Type	Physician Office
Facility Name	RACHENETTA V STIMAGE MD PA
Street	4360 NORTH JOSEY LANE
City	CARROLLTON
State	TX
ZIP	75010
Phone	972 492-7606
CertificateType	3
CertificateEffectiveDate	5/14/2023
CertificateExpirationDate	5/13/2025
FacilityType	PPMP

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