11D1103011 CLIA NUMBER - CARDIOVASCULAR ASSOCIATES OF SANDY SPRINGS LLC

Laboratory Demographics

CLIA Number: 11D1103011

Facility Name: CARDIOVASCULAR ASSOCIATES OF SANDY SPRINGS LLC

Facility Address:
960 JOHNSON FERRY ROAD SUITE 530
ATLANTA, GA
ZIP 30342
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Facility Phone Number: 404 446-1900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1912165382

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	11D1103011
LAB Type	Physician Office
Facility Name	CARDIOVASCULAR ASSOCIATES OF SANDY SPRINGS LLC
Street	960 JOHNSON FERRY ROAD SUITE 530
City	ATLANTA
State	GA
ZIP	30342
Phone	404 446-1900
CertificateType	4
CertificateEffectiveDate	7/31/2023
CertificateExpirationDate	7/30/2025
FacilityType	Waiver

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