45D2189027 CLIA NUMBER - INTERVENTIONAL ASSOCIATES PLLC

Laboratory Demographics

CLIA Number: 45D2189027

Facility Name: INTERVENTIONAL ASSOCIATES PLLC

Facility Address:
8619 BROADWAY STREET SUITE 105
PEARLAND, TX
ZIP 77584
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Facility Phone Number: 281 949-6020

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295101152

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	45D2189027
LAB Type	Physician Office
Facility Name	INTERVENTIONAL ASSOCIATES PLLC
Street	8619 BROADWAY STREET SUITE 105
City	PEARLAND
State	TX
ZIP	77584
Phone	281 949-6020
CertificateType	4
CertificateEffectiveDate	7/24/2022
CertificateExpirationDate	7/23/2024
FacilityType	Waiver

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