03D0954010 CLIA NUMBER - COCHISE HEART CENTER, PLLC

Laboratory Demographics

CLIA Number: 03D0954010

Facility Name: COCHISE HEART CENTER, PLLC

Facility Address:
75 COLONIA DE SALUD #200B
SIERRA VISTA, AZ
ZIP 85635
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Facility Phone Number: 520 417-0468

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295835882

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	03D0954010
LAB Type	Physician Office
Facility Name	COCHISE HEART CENTER, PLLC
Street	75 COLONIA DE SALUD #200B
City	SIERRA VISTA
State	AZ
ZIP	85635
Phone	520 417-0468
CertificateType	4
CertificateEffectiveDate	11/16/2022
CertificateExpirationDate	11/15/2024
FacilityType	Waiver

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