19D2051163 CLIA NUMBER - BATON ROUGE CARDIOLOGY CENTER

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Laboratory Demographics

CLIA Number: 19D2051163

Facility Name: BATON ROUGE CARDIOLOGY CENTER

Facility Address:
8888 SUMMA AVENUE, #B
BATON ROUGE, LA
ZIP 70809
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Facility Phone Number: 225 769-0933

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144377102

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	19D2051163
LAB Type	Physician Office
Facility Name	BATON ROUGE CARDIOLOGY CENTER
Street	8888 SUMMA AVENUE, #B
City	BATON ROUGE
State	LA
ZIP	70809
Phone	225 769-0933
CertificateType	4
CertificateEffectiveDate	12/13/2022
CertificateExpirationDate	12/12/2024
FacilityType	Waiver

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