45D2273831 CLIA NUMBER - MASPONS PEDIATRIC GASTRO

Laboratory Demographics

CLIA Number: 45D2273831

Facility Name: MASPONS PEDIATRIC GASTRO

Facility Address:
100 E SCHUSTER AVE SUITE #1
EL PASO, TX
ZIP 79902
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Facility Phone Number: 915 929-7363

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669912853

Taxonomy: 2080P0206X - Pediatrics
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	45D2273831
LAB Type	Physician Office
Facility Name	MASPONS PEDIATRIC GASTRO
Street	100 E SCHUSTER AVE SUITE #1
City	EL PASO
State	TX
ZIP	79902
Phone	915 929-7363
CertificateType	4
CertificateEffectiveDate	12/20/2022
CertificateExpirationDate	12/19/2024
FacilityType	Waiver

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