33D2151475 CLIA NUMBER - OMNI MEDICAL OF NY

Laboratory Demographics

CLIA Number: 33D2151475

Facility Name: OMNI MEDICAL OF NY

Facility Address:
3620 EAST TREMONT AVENUE - STE 103
BRONX, NY
ZIP 10465
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Facility Phone Number: 212 319-3977

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487023768

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	33D2151475
LAB Type	Physician Office
Facility Name	OMNI MEDICAL OF NY
Street	3620 EAST TREMONT AVENUE - STE 103
City	BRONX
State	NY
ZIP	10465
Phone	212 319-3977
CertificateType	4
CertificateEffectiveDate	7/19/2022
CertificateExpirationDate	7/18/2024
FacilityType	Waiver

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