49D0687458 CLIA NUMBER - RIVERSIDE INTERNAL MEDICINE OF DENBIGH

Laboratory Demographics

CLIA Number: 49D0687458

Facility Name: RIVERSIDE INTERNAL MEDICINE OF DENBIGH

Facility Address:
12652 JEFFERSON AVE
NEWPORT NEWS, VA
ZIP 23602
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Facility Phone Number: 757 234-4285

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285860429

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	49D0687458
LAB Type	Physician Office
Facility Name	RIVERSIDE INTERNAL MEDICINE OF DENBIGH
Street	12652 JEFFERSON AVE
City	NEWPORT NEWS
State	VA
ZIP	23602
Phone	757 234-4285
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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