05D1026358 CLIA NUMBER - RAPEPORT MEDICAL CORPORATIION

Laboratory Demographics

CLIA Number: 05D1026358

Facility Name: RAPEPORT MEDICAL CORPORATIION

Facility Address:
9850 GENESEE AVE STE 940B
LA JOLLA, CA
ZIP 92037
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Facility Phone Number: 858 864-1400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1861494601

Taxonomy: 207RI0011X - Internal Medicine
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

CLIA Record

Field Name Field Value
CLIA Number 05D1026358
LAB Type Physician Office
Facility Name RAPEPORT MEDICAL CORPORATIION
Street 9850 GENESEE AVE STE 940B
City LA JOLLA
State CA
ZIP 92037
Phone 858 864-1400
CertificateType 4
CertificateEffectiveDate 6/3/2022
CertificateExpirationDate 6/2/2024
FacilityType Waiver

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