31D0863855 CLIA NUMBER - CARDIOLOGY ONCOLOGY ASSOCIATES

Laboratory Demographics

CLIA Number: 31D0863855

Facility Name: CARDIOLOGY ONCOLOGY ASSOCIATES

Facility Address:
400 FRANKLIN TURNPIKE SUITE 102
MAHWAH, NJ
ZIP 07430
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Facility Phone Number: 201 934-5700

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1881865046

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name Field Value
CLIA Number 31D0863855
LAB Type Physician Office
Facility Name CARDIOLOGY ONCOLOGY ASSOCIATES
Street 400 FRANKLIN TURNPIKE SUITE 102
City MAHWAH
State NJ
ZIP 07430
Phone 201 934-5700
CertificateType 2
CertificateEffectiveDate 2/17/2022
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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