11D1043414 CLIA NUMBER - SOUTHEASTERN CARDIOLOGY ASSOCIATES PC

Laboratory Demographics

CLIA Number: 11D1043414

Facility Name: SOUTHEASTERN CARDIOLOGY ASSOCIATES PC

Facility Address:
2121 WARM SPRINGS ROAD
COLUMBUS, GA
ZIP 31904
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Facility Phone Number: 706 243-4500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1376527077

Taxonomy: 207RI0011X - Internal Medicine
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

CLIA Record

Field Name	Field Value
CLIA Number	11D1043414
LAB Type	Physician Office
Facility Name	SOUTHEASTERN CARDIOLOGY ASSOCIATES PC
Street	2121 WARM SPRINGS ROAD
City	COLUMBUS
State	GA
ZIP	31904
Phone	706 243-4500
CertificateType	4
CertificateEffectiveDate	7/22/2023
CertificateExpirationDate	7/21/2025
FacilityType	Waiver

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