03D1037865 CLIA NUMBER - HONORHEALTH IN COLLABORATION WITH ARIZONA CARDIOLOGY

Laboratory Demographics

CLIA Number: 03D1037865

Facility Name: HONORHEALTH IN COLLABORATION WITH ARIZONA CARDIOLOGY

Facility Address:
340 E PALM LANE, STE A175
PHOENIX, AZ
ZIP 85004
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Facility Phone Number: 602 386-1100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548886500

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	03D1037865
LAB Type	Physician Office
Facility Name	HONORHEALTH IN COLLABORATION WITH ARIZONA CARDIOLOGY
Street	340 E PALM LANE, STE A175
City	PHOENIX
State	AZ
ZIP	85004
Phone	602 386-1100
CertificateType	4
CertificateEffectiveDate	3/7/2023
CertificateExpirationDate	3/6/2025
FacilityType	Waiver

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