36D2193294 CLIA NUMBER - MIDDLETOWN CARDIOLOGY ASSOCIATES

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Laboratory Demographics

CLIA Number: 36D2193294

Facility Name: MIDDLETOWN CARDIOLOGY ASSOCIATES

Facility Address:
6615 CINCINNATI DAYTON RD SUITE B
LIBERTY TOWNSHIP, OH
ZIP 45044
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Facility Phone Number: 513 217-6400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821048406

Taxonomy: 2085R0001X - Radiology
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

CLIA Record

Field Name	Field Value
CLIA Number	36D2193294
LAB Type	Physician Office
Facility Name	MIDDLETOWN CARDIOLOGY ASSOCIATES
Street	6615 CINCINNATI DAYTON RD SUITE B
City	LIBERTY TOWNSHIP
State	OH
ZIP	45044
Phone	513 217-6400
CertificateType	4
CertificateEffectiveDate	9/18/2022
CertificateExpirationDate	9/17/2024
FacilityType	Waiver

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