45D1054614 CLIA NUMBER - EL PASO VASCULAR ACCESS CENTER

Laboratory Demographics

CLIA Number: 45D1054614

Facility Name: EL PASO VASCULAR ACCESS CENTER

Facility Address:
1601 N BROWN
EL PASO, TX
ZIP 79902
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Facility Phone Number: 915 533-1789

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1679515019

Taxonomy: 2085R0204X - Radiology
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

CLIA Record

Field Name	Field Value
CLIA Number	45D1054614
LAB Type	Physician Office
Facility Name	EL PASO VASCULAR ACCESS CENTER
Street	1601 N BROWN
City	EL PASO
State	TX
ZIP	79902
Phone	915 533-1789
CertificateType	4
CertificateEffectiveDate	5/25/2022
CertificateExpirationDate	5/24/2024
FacilityType	Waiver

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