10D2071950 CLIA NUMBER - PALM VASCULAR CENTER OF BROWARD LLC

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Laboratory Demographics

CLIA Number: 10D2071950

Facility Name: PALM VASCULAR CENTER OF BROWARD LLC

Facility Address:
3109 STIRLING RD STE 100
HOLLYWOOD, FL
ZIP 33312
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Facility Phone Number: 954 315-2000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588098669

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	10D2071950
LAB Type	Physician Office
Facility Name	PALM VASCULAR CENTER OF BROWARD LLC
Street	3109 STIRLING RD STE 100
City	HOLLYWOOD
State	FL
ZIP	33312
Phone	954 315-2000
CertificateType	4
CertificateEffectiveDate	1/22/2024
CertificateExpirationDate	1/21/2026
FacilityType	Waiver

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