49D1096940 CLIA NUMBER - RICHMOND GASTROENTEROLOGY ASSOCIATES,INC

Laboratory Demographics

CLIA Number: 49D1096940

Facility Name: RICHMOND GASTROENTEROLOGY ASSOCIATES,INC

Facility Address:
16011 KARIOS ROAD - SUITE C
COLONIAL HEIGHTS, VA
ZIP 23834
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Facility Phone Number: 804 330-4901

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1639127962

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	49D1096940
LAB Type	Physician Office
Facility Name	RICHMOND GASTROENTEROLOGY ASSOCIATES,INC
Street	16011 KARIOS ROAD - SUITE C
City	COLONIAL HEIGHTS
State	VA
ZIP	23834
Phone	804 330-4901
CertificateType	4
CertificateEffectiveDate	3/13/2023
CertificateExpirationDate	3/12/2025
FacilityType	Waiver

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