10D1061223 CLIA NUMBER - HEART ATTACK PREVENTION CENTER LLC

Laboratory Demographics

CLIA Number: 10D1061223

Facility Name: HEART ATTACK PREVENTION CENTER LLC

Facility Address:
4900 MANATEE AVE W STE 201
BRADENTON, FL
ZIP 34209
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Facility Phone Number: 941 773-0244

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730489105

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	10D1061223
LAB Type	Physician Office
Facility Name	HEART ATTACK PREVENTION CENTER LLC
Street	4900 MANATEE AVE W STE 201
City	BRADENTON
State	FL
ZIP	34209
Phone	941 773-0244
CertificateType	4
CertificateEffectiveDate	11/14/2022
CertificateExpirationDate	11/13/2024
FacilityType	Waiver

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