10D0958736 CLIA NUMBER - BRADENTON CARDIOLOGY CENTER

Laboratory Demographics

CLIA Number: 10D0958736

Facility Name: BRADENTON CARDIOLOGY CENTER

Facility Address:
316 MANATEE AVE W
BRADENTON, FL
ZIP 34205
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Facility Phone Number: 941 748-2277

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1548281876

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	10D0958736
LAB Type	Other
Facility Name	BRADENTON CARDIOLOGY CENTER
Street	316 MANATEE AVE W
City	BRADENTON
State	FL
ZIP	34205
Phone	941 748-2277
CertificateType	4
CertificateEffectiveDate	3/25/2023
CertificateExpirationDate	3/24/2025
FacilityType	Waiver

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