05D2099436 CLIA NUMBER - WIRELESS DIAGNOSTICS

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Laboratory Demographics

CLIA Number: 05D2099436

Facility Name: WIRELESS DIAGNOSTICS

Facility Address:
2080 CENTURY PARK EAST STE 1206
LOS ANGELES, CA
ZIP 90067
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Facility Phone Number: 310 282-0525

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1821164070

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	05D2099436
LAB Type	Physician Office
Facility Name	WIRELESS DIAGNOSTICS
Street	2080 CENTURY PARK EAST STE 1206
City	LOS ANGELES
State	CA
ZIP	90067
Phone	310 282-0525
CertificateType	2
CertificateEffectiveDate	3/25/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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