10D1095975 CLIA NUMBER - DIGESTIVE DISEASE SPECIALISTS OF MANATEE PL

Laboratory Demographics

CLIA Number: 10D1095975

Facility Name: DIGESTIVE DISEASE SPECIALISTS OF MANATEE PL

Facility Address:
4502 CORTEZ RD WEST SUITE 204
BRADENTON, FL
ZIP 34210
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Facility Phone Number: 941 761-1800

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1174655211

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	10D1095975
LAB Type	Physician Office
Facility Name	DIGESTIVE DISEASE SPECIALISTS OF MANATEE PL
Street	4502 CORTEZ RD WEST SUITE 204
City	BRADENTON
State	FL
ZIP	34210
Phone	941 761-1800
CertificateType	2
CertificateEffectiveDate	4/29/2023
CertificateExpirationDate	4/28/2025
FacilityType	Compliance

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