05D2002855 CLIA NUMBER - PRECIADO CARDIOLOGY, INC

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Laboratory Demographics

CLIA Number: 05D2002855

Facility Name: PRECIADO CARDIOLOGY, INC

Facility Address:
1701 CESAR CHAVEZ AVENUE, SUITE 355
LOS ANGELES, CA
ZIP 90033
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Facility Phone Number: 323 225-8025

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477694859

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	05D2002855
LAB Type	Physician Office
Facility Name	PRECIADO CARDIOLOGY, INC
Street	1701 CESAR CHAVEZ AVENUE, SUITE 355
City	LOS ANGELES
State	CA
ZIP	90033
Phone	323 225-8025
CertificateType	4
CertificateEffectiveDate	1/27/2024
CertificateExpirationDate	1/26/2026
FacilityType	Waiver

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