10D0983807 CLIA NUMBER - GASTROINTESTINAL DIAGNOSTIC CENTERS

Laboratory Demographics

CLIA Number: 10D0983807

Facility Name: GASTROINTESTINAL DIAGNOSTIC CENTERS

Facility Address:
2245 N UNIVERSITY DR
PEMBROKE PINES, FL
ZIP 33024
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Facility Phone Number: 954 963-0888

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417959008

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	10D0983807
LAB Type	Physician Office
Facility Name	GASTROINTESTINAL DIAGNOSTIC CENTERS
Street	2245 N UNIVERSITY DR
City	PEMBROKE PINES
State	FL
ZIP	33024
Phone	954 963-0888
CertificateType	4
CertificateEffectiveDate	3/5/2023
CertificateExpirationDate	3/4/2025
FacilityType	Waiver

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