10D2030559 CLIA NUMBER - CARDIOVASCULAR SOLUTIONS LLC

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Laboratory Demographics

CLIA Number: 10D2030559

Facility Name: CARDIOVASCULAR SOLUTIONS LLC

Facility Address:
2210 61ST ST WEST
BRADENTON, FL
ZIP 34209
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Facility Phone Number: 941 747-8789

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1932497187

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	10D2030559
LAB Type	Physician Office
Facility Name	CARDIOVASCULAR SOLUTIONS LLC
Street	2210 61ST ST WEST
City	BRADENTON
State	FL
ZIP	34209
Phone	941 747-8789
CertificateType	4
CertificateEffectiveDate	9/29/2023
CertificateExpirationDate	9/28/2025
FacilityType	Waiver

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