01D1062662 CLIA NUMBER - ADVANCED CARDIOVASCULAR LLC

Laboratory Demographics

CLIA Number: 01D1062662

Facility Name: ADVANCED CARDIOVASCULAR LLC

Facility Address:
1649 HIGHWAY 22 WEST
ALEXANDER CITY, AL
ZIP 35010
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Facility Phone Number: 256 215-5323

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659669307

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	01D1062662
LAB Type	Physician Office
Facility Name	ADVANCED CARDIOVASCULAR LLC
Street	1649 HIGHWAY 22 WEST
City	ALEXANDER CITY
State	AL
ZIP	35010
Phone	256 215-5323
CertificateType	4
CertificateEffectiveDate	12/20/2022
CertificateExpirationDate	12/19/2024
FacilityType	Waiver

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