52D0938062 CLIA NUMBER - CARDIOLOGY ASSOCIATES OF BELLIN HEALTH

Laboratory Demographics

CLIA Number: 52D0938062

Facility Name: CARDIOLOGY ASSOCIATES OF BELLIN HEALTH

Facility Address:
744 S WEBSTER AVE
GREEN BAY, WI
ZIP 54301
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Facility Phone Number: 920 433-3640

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467771535

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	52D0938062
LAB Type	Physician Office
Facility Name	CARDIOLOGY ASSOCIATES OF BELLIN HEALTH
Street	744 S WEBSTER AVE
City	GREEN BAY
State	WI
ZIP	54301
Phone	920 433-3640
CertificateType	4
CertificateEffectiveDate	12/30/2023
CertificateExpirationDate	12/29/2025
FacilityType	Waiver

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