07D0984324 CLIA NUMBER - EASTERN CT CARDIOLOGY ASSOCIATES LLC

Laboratory Demographics

CLIA Number: 07D0984324

Facility Name: EASTERN CT CARDIOLOGY ASSOCIATES LLC

Facility Address:
43 WEST MIDDLE TURNPIKE
MANCHESTER, CT
ZIP 06040
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Facility Phone Number: 860 647-9494

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770557712

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	07D0984324
LAB Type	Physician Office
Facility Name	EASTERN CT CARDIOLOGY ASSOCIATES LLC
Street	43 WEST MIDDLE TURNPIKE
City	MANCHESTER
State	CT
ZIP	06040
Phone	860 647-9494
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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