01D0304803 CLIA NUMBER - SOUTHEAST CARDIOLOGY CLINIC INC

Laboratory Demographics

CLIA Number: 01D0304803

Facility Name: SOUTHEAST CARDIOLOGY CLINIC INC

Facility Address:
1146 ROSS CLARK CIRCLE SE
DOTHAN, AL
ZIP 36301
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Facility Phone Number: (334) 712-1929

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1285790915

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	01D0304803
LAB Type	PHYSICIAN OFFICE
Facility Name	SOUTHEAST CARDIOLOGY CLINIC INC
Street	1146 ROSS CLARK CIRCLE SE
City	DOTHAN
State	AL
ZIP	36301
Phone	(334) 712-1929

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This page was last updated on: 5/11/2023