03D0717766 CLIA NUMBER - INTEGRATED MEDICAL SERVICES

Laboratory Demographics

CLIA Number: 03D0717766

Facility Name: INTEGRATED MEDICAL SERVICES

Facility Address:
6040 N 43 AVE STE 1
GLENDALE, AZ
ZIP 85301
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Facility Phone Number: 623 931-2221

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1942396023

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	03D0717766
LAB Type	Physician Office
Facility Name	INTEGRATED MEDICAL SERVICES
Street	6040 N 43 AVE STE 1
City	GLENDALE
State	AZ
ZIP	85301
Phone	623 931-2221
CertificateType	3
CertificateEffectiveDate	4/1/2024
CertificateExpirationDate	3/31/2026
FacilityType	PPMP

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