45D2210550 CLIA NUMBER - AIR TEXAS

Laboratory Demographics

CLIA Number: 45D2210550

Facility Name: AIR TEXAS

Facility Address:
1302 NORTH STANTON STREET
EL PASO, TX
ZIP 79902
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Facility Phone Number: 915 248-1277

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427511336

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	45D2210550
LAB Type	Physician Office
Facility Name	AIR TEXAS
Street	1302 NORTH STANTON STREET
City	EL PASO
State	TX
ZIP	79902
Phone	915 248-1277
CertificateType	4
CertificateEffectiveDate	1/22/2023
CertificateExpirationDate	1/21/2025
FacilityType	Waiver

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