33D2167519 CLIA NUMBER - ISLAND GASTROENTEROLOGY CONSULTANTS

Laboratory Demographics

CLIA Number: 33D2167519

Facility Name: ISLAND GASTROENTEROLOGY CONSULTANTS

Facility Address:
1111 MONTAUK HWY - 3RD FLOOR
WEST ISLIP, NY
ZIP 11795
Get Directions

Facility Phone Number: 631 669-1171

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174556963

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	33D2167519
LAB Type	Physician Office
Facility Name	ISLAND GASTROENTEROLOGY CONSULTANTS
Street	1111 MONTAUK HWY - 3RD FLOOR
City	WEST ISLIP
State	NY
ZIP	11795
Phone	631 669-1171
CertificateType	4
CertificateEffectiveDate	6/11/2019
CertificateExpirationDate	3/26/2027
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