45D2110966 CLIA NUMBER - STRAIGHTLINE MEDICAL CONSULTANTS

Laboratory Demographics

CLIA Number: 45D2110966

Facility Name: STRAIGHTLINE MEDICAL CONSULTANTS

Facility Address:
9900 N CENTRAL EXPRESSWAY, SUITE 215
DALLAS, TX
ZIP 75231
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Facility Phone Number: 214 396-4950

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487810164

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	45D2110966
LAB Type	Physician Office
Facility Name	STRAIGHTLINE MEDICAL CONSULTANTS
Street	9900 N CENTRAL EXPRESSWAY, SUITE 215
City	DALLAS
State	TX
ZIP	75231
Phone	214 396-4950
CertificateType	4
CertificateEffectiveDate	3/28/2024
CertificateExpirationDate	3/27/2026
FacilityType	Waiver

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