45D2237622 CLIA NUMBER - JUPITER MEDICAL SERVICES, PA

Laboratory Demographics

CLIA Number: 45D2237622

Facility Name: JUPITER MEDICAL SERVICES, PA

Facility Address:
3302 N BUCKNER BLVD SUITE 121
DALLAS, TX
ZIP 75228
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Facility Phone Number: 214 660-1833

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194018705

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	45D2237622
LAB Type	Physician Office
Facility Name	JUPITER MEDICAL SERVICES, PA
Street	3302 N BUCKNER BLVD SUITE 121
City	DALLAS
State	TX
ZIP	75228
Phone	214 660-1833
CertificateType	4
CertificateEffectiveDate	9/27/2023
CertificateExpirationDate	9/26/2025
FacilityType	Waiver

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