11D1019881 CLIA NUMBER - ALPHARETTA CARDIOLOGY LLC

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Laboratory Demographics

CLIA Number: 11D1019881

Facility Name: ALPHARETTA CARDIOLOGY LLC

Facility Address:
5755 NORTH POINT PARKWAY, SUITE 270
ALPHARETTA, GA
ZIP 30022
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Facility Phone Number: 678 762-0910

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801284518

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	11D1019881
LAB Type	Physician Office
Facility Name	ALPHARETTA CARDIOLOGY LLC
Street	5755 NORTH POINT PARKWAY, SUITE 270
City	ALPHARETTA
State	GA
ZIP	30022
Phone	678 762-0910
CertificateType	4
CertificateEffectiveDate	5/19/2022
CertificateExpirationDate	5/18/2024
FacilityType	Waiver

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