45D2167223 CLIA NUMBER - RICHARD L BAKER, MD

Laboratory Demographics

CLIA Number: 45D2167223

Facility Name: RICHARD L BAKER, MD

Facility Address:
1301 RAGUET STREET
NACOGDOCHES, TX
ZIP 75961
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Facility Phone Number: 936 560-3620

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1073600433

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	45D2167223
LAB Type	Physician Office
Facility Name	RICHARD L BAKER, MD
Street	1301 RAGUET STREET
City	NACOGDOCHES
State	TX
ZIP	75961
Phone	936 560-3620
CertificateType	3
CertificateEffectiveDate	6/4/2023
CertificateExpirationDate	6/3/2025
FacilityType	PPMP

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