45D0956290 CLIA NUMBER - AUSTIN HEART COUMADIN CLINIC

Laboratory Demographics

CLIA Number: 45D0956290

Facility Name: AUSTIN HEART COUMADIN CLINIC

Facility Address:
3801 NORTH LAMAR SUITE 300
AUSTIN, TX
ZIP 78756
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Facility Phone Number: 512 206-3600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700887700

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	45D0956290
LAB Type	Physician Office
Facility Name	AUSTIN HEART COUMADIN CLINIC
Street	3801 NORTH LAMAR SUITE 300
City	AUSTIN
State	TX
ZIP	78756
Phone	512 206-3600
CertificateType	4
CertificateEffectiveDate	1/25/2023
CertificateExpirationDate	1/24/2025
FacilityType	Waiver

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