23D0965499 CLIA NUMBER - HEART CARDIOLOGY CONSULTANTS, PC

Laboratory Demographics

  • CLIA Code: 23D0965499
  • Facility Name: HEART CARDIOLOGY CONSULTANTS, PC
  • Facility Address: 22250 PROVIDENCE DRIVE, SUITE 705
    SOUTHFIELD, MI
    ZIP 48075
  • Facility Phone: 248 552-9858
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISSAC GRINBERG MD
  • NPI Number: 1083699656
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0965499
LAB Type Physician Office
Facility Name HEART CARDIOLOGY CONSULTANTS, PC
Street 22250 PROVIDENCE DRIVE, SUITE 705
City SOUTHFIELD
State MI
ZIP 48075
Phone 248 552-9858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2023
Certificate Expiration Date 9/21/2025
Facility Type Physician Office
Lab Director ISSAC GRINBERG MD

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This page was last updated on: 3/20/2025