10D2185384 CLIA NUMBER - GASTROENTEROLOGY CONSULTANTS OF BOCA RATON

Laboratory Demographics

CLIA Number: 10D2185384

Facility Name: GASTROENTEROLOGY CONSULTANTS OF BOCA RATON

Facility Address:
951 NW 13TH ST SUITE 2E
BOCA RATON, FL
ZIP 33486
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Facility Phone Number: 561 368-3455

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1649256918

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D2185384
LAB Type	Physician Office
Facility Name	GASTROENTEROLOGY CONSULTANTS OF BOCA RATON
Street	951 NW 13TH ST SUITE 2E
City	BOCA RATON
State	FL
ZIP	33486
Phone	561 368-3455
CertificateType	2
CertificateEffectiveDate	10/12/2022
CertificateExpirationDate	10/11/2024
FacilityType	Compliance

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