11D2293647 CLIA NUMBER - ARJU VASCULAR & INTERVENTIONAL CTR, LLC

Laboratory Demographics

CLIA Number: 11D2293647

Facility Name: ARJU VASCULAR & INTERVENTIONAL CTR, LLC

Facility Address:
748 OLD NORCROSS ROAD, SUITE 250
LAWRENCEVILLE, GA
ZIP 30046
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Facility Phone Number: 678 910-7228

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1053099903

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	11D2293647
LAB Type	Ambulatory Surgery Center
Facility Name	ARJU VASCULAR & INTERVENTIONAL CTR, LLC
Street	748 OLD NORCROSS ROAD, SUITE 250
City	LAWRENCEVILLE
State	GA
ZIP	30046
Phone	678 910-7228
CertificateType	4
CertificateEffectiveDate	11/13/2023
CertificateExpirationDate	11/12/2025
FacilityType	Waiver

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