03D0985688 CLIA NUMBER - ARIZONA INTERNAL MEDICINE SPECIALISTS

Laboratory Demographics

CLIA Number: 03D0985688

Facility Name: ARIZONA INTERNAL MEDICINE SPECIALISTS

Facility Address:
1200 N EL DORADO PL STE D400
TUCSON, AZ
ZIP 85715
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Facility Phone Number: 520 327-9573

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154886109

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	03D0985688
LAB Type	Physician Office
Facility Name	ARIZONA INTERNAL MEDICINE SPECIALISTS
Street	1200 N EL DORADO PL STE D400
City	TUCSON
State	AZ
ZIP	85715
Phone	520 327-9573
CertificateType	4
CertificateEffectiveDate	4/25/2023
CertificateExpirationDate	4/24/2025
FacilityType	Waiver

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