36D2078141 CLIA NUMBER - MOUNT CARMEL CARDIOVASCULAR IMAGING SERVICES

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Laboratory Demographics

CLIA Number: 36D2078141

Facility Name: MOUNT CARMEL CARDIOVASCULAR IMAGING SERVICES

Facility Address:
85 MCNAUGHTEN ROAD SUITE 300
COLUMBUS, OH
ZIP 43213
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Facility Phone Number: 614 899-8610

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1396989208

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	36D2078141
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	MOUNT CARMEL CARDIOVASCULAR IMAGING SERVICES
Street	85 MCNAUGHTEN ROAD SUITE 300
City	COLUMBUS
State	OH
ZIP	43213
Phone	614 899-8610
CertificateType	4
CertificateEffectiveDate	5/22/2022
CertificateExpirationDate	5/21/2024
FacilityType	Waiver

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