10D1101277 CLIA NUMBER - INTRACOASTAL CARDIOLOGY CENTER

Laboratory Demographics

CLIA Number: 10D1101277

Facility Name: INTRACOASTAL CARDIOLOGY CENTER

Facility Address:
900 NW 17TH AVE
DELRAY BEACH, FL
ZIP 33445
Get Directions

Facility Phone Number: 561 278-3323

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255413993

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	10D1101277
LAB Type	Physician Office
Facility Name	INTRACOASTAL CARDIOLOGY CENTER
Street	900 NW 17TH AVE
City	DELRAY BEACH
State	FL
ZIP	33445
Phone	561 278-3323
CertificateType	4
CertificateEffectiveDate	6/24/2023
CertificateExpirationDate	6/23/2025
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