11D0933104 CLIA NUMBER - ATLANTA CARDIOLOGY CONSULTANTS

Laboratory Demographics

CLIA Number: 11D0933104

Facility Name: ATLANTA CARDIOLOGY CONSULTANTS

Facility Address:
3905 BROOKSIDE PARKWAY SUITE 202
ALPHARETTA, GA
ZIP 30022
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Facility Phone Number: 770 751-9131

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1518919356

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	11D0933104
LAB Type	Physician Office
Facility Name	ATLANTA CARDIOLOGY CONSULTANTS
Street	3905 BROOKSIDE PARKWAY SUITE 202
City	ALPHARETTA
State	GA
ZIP	30022
Phone	770 751-9131
CertificateType	4
CertificateEffectiveDate	8/8/2022
CertificateExpirationDate	8/7/2024
FacilityType	Waiver

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