14D2067991 CLIA NUMBER - ADVANCED HEART GROUP

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Laboratory Demographics

CLIA Number: 14D2067991

Facility Name: ADVANCED HEART GROUP

Facility Address:
19550 GOVERNORS HWY, STE 2900
FLOSSMOOR, IL
ZIP 60422
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Facility Phone Number: 708 331-2200

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1518945989

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	14D2067991
LAB Type	Physician Office
Facility Name	ADVANCED HEART GROUP
Street	19550 GOVERNORS HWY, STE 2900
City	FLOSSMOOR
State	IL
ZIP	60422
Phone	708 331-2200
CertificateType	3
CertificateEffectiveDate	10/25/2023
CertificateExpirationDate	10/24/2025
FacilityType	PPMP

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