10D2075850 CLIA NUMBER - VASCULAR ACTION LLC

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Laboratory Demographics

CLIA Number: 10D2075850

Facility Name: VASCULAR ACTION LLC

Facility Address:
2810 W ST ISABEL ST STE 102
TAMPA, FL
ZIP 33607
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Facility Phone Number: 352 322-3294

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871921163

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	10D2075850
LAB Type	Physician Office
Facility Name	VASCULAR ACTION LLC
Street	2810 W ST ISABEL ST STE 102
City	TAMPA
State	FL
ZIP	33607
Phone	352 322-3294
CertificateType	4
CertificateEffectiveDate	4/7/2024
CertificateExpirationDate	4/6/2026
FacilityType	Waiver

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