39D0683469 CLIA NUMBER - CARDIOLOGY CONSULTANTS OF PHILA

Laboratory Demographics

CLIA Number: 39D0683469

Facility Name: CARDIOLOGY CONSULTANTS OF PHILA

Facility Address:
1703 S BROAD ST SUITE 300
PHILADELPHIA, PA
ZIP 19148
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Facility Phone Number: 215 463-5333

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356890420

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	39D0683469
LAB Type	Physician Office
Facility Name	CARDIOLOGY CONSULTANTS OF PHILA
Street	1703 S BROAD ST SUITE 300
City	PHILADELPHIA
State	PA
ZIP	19148
Phone	215 463-5333
CertificateType	4
CertificateEffectiveDate	1/16/2023
CertificateExpirationDate	1/15/2025
FacilityType	Waiver

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