14D1048227 CLIA NUMBER - PALATINE HEART CENTER GLOBAL CARE SC

Laboratory Demographics

CLIA Number: 14D1048227

Facility Name: PALATINE HEART CENTER GLOBAL CARE SC

Facility Address:
350 E CONGRESS PKWY - UNIT E
CRYSTAL LAKE, IL
ZIP 60014
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Facility Phone Number: 815 477-8900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033309042

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	14D1048227
LAB Type	Physician Office
Facility Name	PALATINE HEART CENTER GLOBAL CARE SC
Street	350 E CONGRESS PKWY - UNIT E
City	CRYSTAL LAKE
State	IL
ZIP	60014
Phone	815 477-8900
CertificateType	4
CertificateEffectiveDate	11/28/2023
CertificateExpirationDate	11/27/2025
FacilityType	Waiver

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