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49D2063454 CLIA NUMBER - SENTARA INTERNAL MEDICINE PHYSICIANS 1925 GLEN MITCHELL

Laboratory Demographics

CLIA Number: 49D2063454

Facility Name: SENTARA INTERNAL MEDICINE PHYSICIANS 1925 GLEN MITCHELL

Facility Address:
1925 GLENN MITCHELL DRIVE - SUITE 202
VIRGINIA BEACH, VA
ZIP 23456
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Facility Phone Number: 757 507-0900

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1669813507

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 49D2063454
LAB Type Physician Office
Facility Name SENTARA INTERNAL MEDICINE PHYSICIANS 1925 GLEN MITCHELL
Street 1925 GLENN MITCHELL DRIVE - SUITE 202
City VIRGINIA BEACH
State VA
ZIP 23456
Phone 757 507-0900
CertificateType 3
CertificateEffectiveDate 2/6/2024
CertificateExpirationDate 2/5/2026
FacilityType PPMP

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