50D2061877 CLIA NUMBER - NOBLE PHYSICIANS

Laboratory Demographics

CLIA Number: 50D2061877

Facility Name: NOBLE PHYSICIANS

Facility Address:
5602 RUDDELL RD SE
LACEY, WA
ZIP 98503
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Facility Phone Number: 253 737-5764

Facility Type: Other - DRUG TREATMENT

Certificate Type: Waiver

NPI Number: 1568729572

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 50D2061877
LAB Type Other - DRUG TREATMENT
Facility Name NOBLE PHYSICIANS
Street 5602 RUDDELL RD SE
City LACEY
State WA
ZIP 98503
Phone 253 737-5764
CertificateType 4
CertificateEffectiveDate 7/8/2013
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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