23D2149884 CLIA NUMBER - K HEART & VASCULAR INSTITUTE, PLLC

Laboratory Demographics

CLIA Number: 23D2149884

Facility Name: K HEART & VASCULAR INSTITUTE, PLLC

Facility Address:
33376 DEQUINDRE ROAD
STERLING HEIGHTS, MI
ZIP 48310
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Facility Phone Number: 248 986-3252

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003366675

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	23D2149884
LAB Type	Physician Office
Facility Name	K HEART & VASCULAR INSTITUTE, PLLC
Street	33376 DEQUINDRE ROAD
City	STERLING HEIGHTS
State	MI
ZIP	48310
Phone	248 986-3252
CertificateType	4
CertificateEffectiveDate	6/12/2022
CertificateExpirationDate	6/11/2024
FacilityType	Waiver

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