10D2049785 CLIA NUMBER - MOUNT SINAI CORAL GABLES

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Laboratory Demographics

CLIA Number: 10D2049785

Facility Name: MOUNT SINAI CORAL GABLES

Facility Address:
836 PONCE DE LEON STE 200
CORAL GABLES, FL
ZIP 33134
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Facility Phone Number: 305 441-0910

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750034211

Taxonomy: 2085R0204X - Radiology
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

CLIA Record

Field Name	Field Value
CLIA Number	10D2049785
LAB Type	Physician Office
Facility Name	MOUNT SINAI CORAL GABLES
Street	836 PONCE DE LEON STE 200
City	CORAL GABLES
State	FL
ZIP	33134
Phone	305 441-0910
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