05D2214715 CLIA NUMBER - OASIS ADVANCED GASTROENTEROLOGY INC

Laboratory Demographics

CLIA Number: 05D2214715

Facility Name: OASIS ADVANCED GASTROENTEROLOGY INC

Facility Address:
1100 N PALM CANYON DR STE 214
PALM SPRINGS, CA
ZIP 92262
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Facility Phone Number: 760 699-7607

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1073027603

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	05D2214715
LAB Type	Physician Office
Facility Name	OASIS ADVANCED GASTROENTEROLOGY INC
Street	1100 N PALM CANYON DR STE 214
City	PALM SPRINGS
State	CA
ZIP	92262
Phone	760 699-7607
CertificateType	2
CertificateEffectiveDate	3/10/2023
CertificateExpirationDate	3/9/2025
FacilityType	Compliance

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