49D0709523 CLIA NUMBER - MICHAEL E SANTULLI

Laboratory Demographics

CLIA Number: 49D0709523

Facility Name: MICHAEL E SANTULLI

Facility Address:
1405 ROLKIN COURT - SUITE 201
CHARLOTTESVILLE, VA
ZIP 22911
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Facility Phone Number: 434 295-5155

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811077274

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	49D0709523
LAB Type	Physician Office
Facility Name	MICHAEL E SANTULLI
Street	1405 ROLKIN COURT - SUITE 201
City	CHARLOTTESVILLE
State	VA
ZIP	22911
Phone	434 295-5155
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