25D2229548 CLIA NUMBER - MONROE HEALTH SERVICES INC DBA AMORY CARDIOLOGY CL

Laboratory Demographics

CLIA Number: 25D2229548

Facility Name: MONROE HEALTH SERVICES INC DBA AMORY CARDIOLOGY CL

Facility Address:
1107 EARL FRYE BLVD STE 3
AMORY, MS
ZIP 38821
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Facility Phone Number: 662 257-6765

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225605942

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	25D2229548
LAB Type	Physician Office
Facility Name	MONROE HEALTH SERVICES INC DBA AMORY CARDIOLOGY CL
Street	1107 EARL FRYE BLVD STE 3
City	AMORY
State	MS
ZIP	38821
Phone	662 257-6765
CertificateType	4
CertificateEffectiveDate	7/13/2023
CertificateExpirationDate	7/12/2025
FacilityType	Waiver

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