10D0988628 CLIA NUMBER - CARDIOLOGY CENTER OF ENGLEWOOD PA,THE

Laboratory Demographics

CLIA Number: 10D0988628

Facility Name: CARDIOLOGY CENTER OF ENGLEWOOD PA,THE

Facility Address:
601 MEDICAL DRIVE
ENGLEWOOD, FL
ZIP 34223
Get Directions

Facility Phone Number: 941 475-5621

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437287158

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	10D0988628
LAB Type	Physician Office
Facility Name	CARDIOLOGY CENTER OF ENGLEWOOD PA,THE
Street	601 MEDICAL DRIVE
City	ENGLEWOOD
State	FL
ZIP	34223
Phone	941 475-5621
CertificateType	4
CertificateEffectiveDate	6/15/2023
CertificateExpirationDate	6/14/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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