50D2111877 CLIA NUMBER - NORTHWEST ENDOVASCULAR SURGERY

Laboratory Demographics

CLIA Number: 50D2111877

Facility Name: NORTHWEST ENDOVASCULAR SURGERY

Facility Address:
1341 SPAULDING AVE
RICHLAND, WA
ZIP 99352
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Facility Phone Number: 509 588-7613

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1467798819

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	50D2111877
LAB Type	Ambulatory Surgery Center
Facility Name	NORTHWEST ENDOVASCULAR SURGERY
Street	1341 SPAULDING AVE
City	RICHLAND
State	WA
ZIP	99352
Phone	509 588-7613
CertificateType	4
CertificateEffectiveDate	4/18/2016
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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