45D2083593 CLIA NUMBER - SCOTTY ORTEGA, MD

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Laboratory Demographics

CLIA Number: 45D2083593

Facility Name: SCOTTY ORTEGA, MD

Facility Address:
3001 N FAUDREE ROAD
ODESSA, TX
ZIP 79765
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Facility Phone Number: 432 614-6228

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194015297

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	45D2083593
LAB Type	Physician Office
Facility Name	SCOTTY ORTEGA, MD
Street	3001 N FAUDREE ROAD
City	ODESSA
State	TX
ZIP	79765
Phone	432 614-6228
CertificateType	4
CertificateEffectiveDate	9/9/2022
CertificateExpirationDate	9/8/2024
FacilityType	Waiver

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