37D0893708 CLIA NUMBER - INTEGRIS DDSI ENDOSCOPY CENTERS, LLC

Laboratory Demographics

CLIA Number: 37D0893708

Facility Name: INTEGRIS DDSI ENDOSCOPY CENTERS, LLC

Facility Address:
3366 NW EXPRESSWAY, STE 400
OKLAHOMA CITY, OK
ZIP 73112
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Facility Phone Number: 405 943-2001

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1386790012

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	37D0893708
LAB Type	Ambulatory Surgery Center
Facility Name	INTEGRIS DDSI ENDOSCOPY CENTERS, LLC
Street	3366 NW EXPRESSWAY, STE 400
City	OKLAHOMA CITY
State	OK
ZIP	73112
Phone	405 943-2001
CertificateType	4
CertificateEffectiveDate	7/3/2022
CertificateExpirationDate	7/2/2024
FacilityType	Waiver

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