31D1005338 CLIA NUMBER - COASTAL CARDIOVASCULAR CONSULTANTS PA

Laboratory Demographics

CLIA Number: 31D1005338

Facility Name: COASTAL CARDIOVASCULAR CONSULTANTS PA

Facility Address:
1930 HIGHWAY 35 SUITE 3
WALL, NJ
ZIP 07719
Get Directions

Facility Phone Number: 732 458-6200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669452199

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	31D1005338
LAB Type	Physician Office
Facility Name	COASTAL CARDIOVASCULAR CONSULTANTS PA
Street	1930 HIGHWAY 35 SUITE 3
City	WALL
State	NJ
ZIP	07719
Phone	732 458-6200
CertificateType	4
CertificateEffectiveDate	10/21/2022
CertificateExpirationDate	10/20/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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