45D2080294 CLIA NUMBER - METROPOLITAN CARDIAC IMAGING CENTER

Home > CLIA Lookup > 45D2080294

Laboratory Demographics

CLIA Number: 45D2080294

Facility Name: METROPOLITAN CARDIAC IMAGING CENTER

Facility Address:
1100 MCCULLOUGH AVENUE SUITE 201
SAN ANTONIO, TX
ZIP 78212
Get Directions

Facility Phone Number: 210 757-1911

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1528176062

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	45D2080294
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	METROPOLITAN CARDIAC IMAGING CENTER
Street	1100 MCCULLOUGH AVENUE SUITE 201
City	SAN ANTONIO
State	TX
ZIP	78212
Phone	210 757-1911
CertificateType	4
CertificateEffectiveDate	7/3/2022
CertificateExpirationDate	7/2/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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