NPI: 1942607445
Provider Name: FORTY THIRD MEDICAL ASSOCIATES, LLC
Doing Business As: VANTAGE INTEGRITY MEDICAL, LLC
Classification: Specialist/Technologist Cardiovascular - 246XC2903X
Entity Type: Organization
Specialization: Vascular Specialist
CLIA Number: 03D0867614
Address:
7725 N 43RD AVE
# 111
PHOENIX, AZ
ZIP 85051
Phone: (623) 931-9201
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FORTY THIRD MEDICAL ASSOCIATES, LLC is a vascular specialist specialist technologist cardiovascular in Phoenix, AZ. FORTY THIRD MEDICAL ASSOCIATES, LLC NPI is 1942607445. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vantage Integrity Medical, Llc.
The provider's business location address is:
7725 N 43RD AVE
# 111
PHOENIX, AZ
ZIP 85051-770
Phone: (623) 931-9201
Fax: (623) 934-5414
The provider's authorized official is Andrew Joseph Mccue .
The authorized official title is Director Of Operations and has the following contact phone number (719) 761-1985.
The CLIA number assigned to this NPI record is 03D0867614 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 11/26/2014 and was last updated on 11/26/2014.