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Liberty Medical Surgical Clinic Pa
Clinical Medical Laboratory in Liberty, Texas
NPI 1063419729

Liberty Medical Surgical Clinic Pa is a Clinical Medical Laboratory based in Liberty, TX. Liberty Medical Surgical Clinic Pa practices in Liberty, TX. The NPI Number for Liberty Medical Surgical Clinic Pa is 1063419729 and holds a License No. 45D0497236 (Texas).

The current practice location address for Liberty Medical Surgical Clinic Pa is 720 Travis St, Liberty, TX and can be reached out via phone at 936-336-6439 and via fax at 936-336-6517.

Location: 720 Travis St, Liberty, TX, 77575-4828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063419729
Provider Name
Liberty Medical Surgical Clinic Pa
Credential
Provider Entity Type
Organization
Address
720 Travis St, Liberty, TX, 77575-4828
Phone Number
936-336-6439
Fax Number
936-336-6517
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
093702101 05 TX
1159730001 01 TX DMERC
CH8298 01 TX RR MEDICARE-NR
institution
Provider Business Practice Location Address Details
Address
720 Travis St
City
Liberty
State
Texas
Zip
77575-4828
Phone Number
936-336-6439
Fax Number
936-336-6517
person
Provider Business Mailing Address Details
Address
720 Travis St
City
Liberty
State
Texas
Zip
77575-4828
Phone Number
936-336-6439
Fax Number
936-336-6517
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
45D0497236 (Texas)
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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