03D0970905 CLIA NUMBER - PARKVIEW INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 03D0970905

Facility Name: PARKVIEW INTERNAL MEDICINE

Facility Address:
12647 W SMOKEY DR SUITE 19
SURPRISE, AZ
ZIP 85378
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Facility Phone Number: 623 544-1700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457515579

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	03D0970905
LAB Type	Physician Office
Facility Name	PARKVIEW INTERNAL MEDICINE
Street	12647 W SMOKEY DR SUITE 19
City	SURPRISE
State	AZ
ZIP	85378
Phone	623 544-1700
CertificateType	4
CertificateEffectiveDate	2/29/2024
CertificateExpirationDate	2/27/2026
FacilityType	Waiver

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