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03D0531358 CLIA NUMBER - INTEGRATED MEDICAL SERVICES

Laboratory Demographics

CLIA Number: 03D0531358

Facility Name: INTEGRATED MEDICAL SERVICES

Facility Address:
10815 W MCDOWELL RD STE 305
AVONDALE, AZ
ZIP 85392
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Facility Phone Number: 480 840-1754

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1558607317

Taxonomy: 213E00000X - Podiatrist
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

CLIA Record

Field Name Field Value
CLIA Number 03D0531358
LAB Type Physician Office
Facility Name INTEGRATED MEDICAL SERVICES
Street 10815 W MCDOWELL RD STE 305
City AVONDALE
State AZ
ZIP 85392
Phone 480 840-1754
CertificateType 4
CertificateEffectiveDate 6/27/2023
CertificateExpirationDate 6/26/2025
FacilityType Waiver

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