18D0978259 CLIA NUMBER - MERCY HEALTH - HEART AND VASCULAR INSTITUTE CARDIOLOGY

Laboratory Demographics

CLIA Number: 18D0978259

Facility Name: MERCY HEALTH - HEART AND VASCULAR INSTITUTE CARDIOLOGY

Facility Address:
1532 LONE OAK RD STE 415
PADUCAH, KY
ZIP 42003
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Facility Phone Number: 270 442-0103

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1346244126

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	18D0978259
LAB Type	Physician Office
Facility Name	MERCY HEALTH - HEART AND VASCULAR INSTITUTE CARDIOLOGY
Street	1532 LONE OAK RD STE 415
City	PADUCAH
State	KY
ZIP	42003
Phone	270 442-0103
CertificateType	4
CertificateEffectiveDate	9/20/2022
CertificateExpirationDate	9/19/2024
FacilityType	Waiver

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