08D2125536 CLIA NUMBER - THE HEART AND VASCULAR CLINIC, PA

Laboratory Demographics

CLIA Number: 08D2125536

Facility Name: THE HEART AND VASCULAR CLINIC, PA

Facility Address:
410 FOULK ROAD, SUITE 101
WILMINGTON, DE
ZIP 19803
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Facility Phone Number: 302 518-6200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1851628390

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	08D2125536
LAB Type	Physician Office
Facility Name	THE HEART AND VASCULAR CLINIC, PA
Street	410 FOULK ROAD, SUITE 101
City	WILMINGTON
State	DE
ZIP	19803
Phone	302 518-6200
CertificateType	4
CertificateEffectiveDate	2/9/2023
CertificateExpirationDate	2/8/2025
FacilityType	Waiver

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