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03D0963700 CLIA NUMBER - PARADISE VALLEY MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 03D0963700

Facility Name: PARADISE VALLEY MEDICAL CLINIC

Facility Address:
9977 N 90TH ST STE #180
SCOTTSDALE, AZ
ZIP 85258
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Facility Phone Number: 480 614-5800

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1326470501

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 03D0963700
LAB Type Physician Office
Facility Name PARADISE VALLEY MEDICAL CLINIC
Street 9977 N 90TH ST STE #180
City SCOTTSDALE
State AZ
ZIP 85258
Phone 480 614-5800
CertificateType 4
CertificateEffectiveDate 8/5/2023
CertificateExpirationDate 8/4/2025
FacilityType Waiver

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