51D0725830 CLIA NUMBER - SALEM FAMILY MEDICINE UNITED PHYSICIANS CARE INC DBA

Laboratory Demographics

CLIA Number: 51D0725830

Facility Name: SALEM FAMILY MEDICINE UNITED PHYSICIANS CARE INC DBA

Facility Address:
2373 WEST MAIN STREET SUITE 102
SALEM, WV
ZIP 26426
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Facility Phone Number: 304 782-2000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215975438

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	51D0725830
LAB Type	Physician Office
Facility Name	SALEM FAMILY MEDICINE UNITED PHYSICIANS CARE INC DBA
Street	2373 WEST MAIN STREET SUITE 102
City	SALEM
State	WV
ZIP	26426
Phone	304 782-2000
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