10D2266498 CLIA NUMBER - FLORIDA VASCULAR SPECIALISTS, LLC

Laboratory Demographics

CLIA Number: 10D2266498

Facility Name: FLORIDA VASCULAR SPECIALISTS, LLC

Facility Address:
3 SW 129TH AVE, STE 102
PEMBROKE PINES, FL
ZIP 33027
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Facility Phone Number: 310 633-1974

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033823554

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	10D2266498
LAB Type	Physician Office
Facility Name	FLORIDA VASCULAR SPECIALISTS, LLC
Street	3 SW 129TH AVE, STE 102
City	PEMBROKE PINES
State	FL
ZIP	33027
Phone	310 633-1974
CertificateType	4
CertificateEffectiveDate	8/11/2022
CertificateExpirationDate	8/10/2024
FacilityType	Waiver

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