10D1006246 CLIA NUMBER - GASTRO HEALTH LLC

Laboratory Demographics

CLIA Number: 10D1006246

Facility Name: GASTRO HEALTH LLC

Facility Address:
3885 OAK WATER CIRCLE
ORLANDO, FL
ZIP 32806
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Facility Phone Number: 407 851-6226

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255036216

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	10D1006246
LAB Type	Physician Office
Facility Name	GASTRO HEALTH LLC
Street	3885 OAK WATER CIRCLE
City	ORLANDO
State	FL
ZIP	32806
Phone	407 851-6226
CertificateType	4
CertificateEffectiveDate	11/13/2022
CertificateExpirationDate	11/12/2024
FacilityType	Waiver

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