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03D0974106 CLIA NUMBER - TATUM INTERNAL MEDICINE ASSOCIATES PLLC

Laboratory Demographics

CLIA Number: 03D0974106

Facility Name: TATUM INTERNAL MEDICINE ASSOCIATES PLLC

Facility Address:
21803 N SCOTTSDALE RD STE 200
SCOTTSDALE, AZ
ZIP 85255
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Facility Phone Number: 602 482-5444

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1306974217

Taxonomy: 173000000X - Legal Medicine
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

CLIA Record

Field Name Field Value
CLIA Number 03D0974106
LAB Type Physician Office
Facility Name TATUM INTERNAL MEDICINE ASSOCIATES PLLC
Street 21803 N SCOTTSDALE RD STE 200
City SCOTTSDALE
State AZ
ZIP 85255
Phone 602 482-5444
CertificateType 4
CertificateEffectiveDate 5/26/2022
CertificateExpirationDate 5/25/2024
FacilityType Waiver

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