10D0961907 CLIA NUMBER - GASTRO HEALTH, LLC

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Laboratory Demographics

CLIA Number: 10D0961907

Facility Name: GASTRO HEALTH, LLC

Facility Address:
1776 N PINE ISLAND RD # 210
PLANTATION, FL
ZIP 33322
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Facility Phone Number: 954 792-2220

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588339063

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	10D0961907
LAB Type	Physician Office
Facility Name	GASTRO HEALTH, LLC
Street	1776 N PINE ISLAND RD # 210
City	PLANTATION
State	FL
ZIP	33322
Phone	954 792-2220
CertificateType	4
CertificateEffectiveDate	6/21/2023
CertificateExpirationDate	6/20/2025
FacilityType	Waiver

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