26D0443889 CLIA NUMBER - PULMONARY PHYSICIANS OF CARONDELET

Laboratory Demographics

CLIA Number: 26D0443889

Facility Name: PULMONARY PHYSICIANS OF CARONDELET

Facility Address:
1004 CARONDELET DRIVE, SUITE 300
KANSAS CITY, MO
ZIP 64114
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Facility Phone Number: 816 942-4500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588787501

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	26D0443889
LAB Type	Physician Office
Facility Name	PULMONARY PHYSICIANS OF CARONDELET
Street	1004 CARONDELET DRIVE, SUITE 300
City	KANSAS CITY
State	MO
ZIP	64114
Phone	816 942-4500
CertificateType	4
CertificateEffectiveDate	1/9/2023
CertificateExpirationDate	1/8/2025
FacilityType	Waiver

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