14D2161091 CLIA NUMBER - STAT CARDIOLOGIST

Laboratory Demographics

CLIA Number: 14D2161091

Facility Name: STAT CARDIOLOGIST

Facility Address:
1345 WILEY RD - STE 111
SCHAUMBURG, IL
ZIP 60173
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Facility Phone Number: 847 490-0060

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528596350

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	14D2161091
LAB Type	Physician Office
Facility Name	STAT CARDIOLOGIST
Street	1345 WILEY RD - STE 111
City	SCHAUMBURG
State	IL
ZIP	60173
Phone	847 490-0060
CertificateType	4
CertificateEffectiveDate	1/25/2023
CertificateExpirationDate	1/24/2025
FacilityType	Waiver

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