10D1103293 CLIA NUMBER - ONCOLOGY AND RADIATION ASSOCIATES

Laboratory Demographics

CLIA Number: 10D1103293

Facility Name: ONCOLOGY AND RADIATION ASSOCIATES

Facility Address:
7150 W 20TH AVE STE 214
HIALEAH, FL
ZIP 33016
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Facility Phone Number: 305 826-8606

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1093004194

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	10D1103293
LAB Type	Physician Office
Facility Name	ONCOLOGY AND RADIATION ASSOCIATES
Street	7150 W 20TH AVE STE 214
City	HIALEAH
State	FL
ZIP	33016
Phone	305 826-8606
CertificateType	2
CertificateEffectiveDate	10/27/2023
CertificateExpirationDate	10/26/2025
FacilityType	Compliance

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