33D1096585 CLIA NUMBER - COMPREHENSIVE CARDIOVASCULAR PC

Laboratory Demographics

CLIA Number: 33D1096585

Facility Name: COMPREHENSIVE CARDIOVASCULAR PC

Facility Address:
9407 156TH AVENUE, SUITE 200
HOWARD BEACH, NY
ZIP 11414
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Facility Phone Number: 718 323-3773

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457440273

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	33D1096585
LAB Type	Physician Office
Facility Name	COMPREHENSIVE CARDIOVASCULAR PC
Street	9407 156TH AVENUE, SUITE 200
City	HOWARD BEACH
State	NY
ZIP	11414
Phone	718 323-3773
CertificateType	4
CertificateEffectiveDate	3/9/2023
CertificateExpirationDate	3/8/2025
FacilityType	Waiver

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