16D0937332 CLIA NUMBER - CARDIOVASCULAR MEDICINE PLLC

Laboratory Demographics

CLIA Number: 16D0937332

Facility Name: CARDIOVASCULAR MEDICINE PLLC

Facility Address:
1236 EAST RUSHOLME STREET SUITE 300
DAVENPORT, IA
ZIP 52803
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Facility Phone Number: 309 743-6719

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1982632907

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	16D0937332
LAB Type	Physician Office
Facility Name	CARDIOVASCULAR MEDICINE PLLC
Street	1236 EAST RUSHOLME STREET SUITE 300
City	DAVENPORT
State	IA
ZIP	52803
Phone	309 743-6719
CertificateType	2
CertificateEffectiveDate	1/14/2023
CertificateExpirationDate	1/13/2025
FacilityType	Compliance

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