03D1075587 CLIA NUMBER - INTEGRATED MEDICAL SERVICES, INC

Laboratory Demographics

CLIA Number: 03D1075587

Facility Name: INTEGRATED MEDICAL SERVICES, INC

Facility Address:
255 N CENTRAL BLVD, STE #5
QUARTZSITE, AZ
ZIP 85346
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Facility Phone Number: 623 633-3848

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1922345149

Taxonomy: 213E00000X - Podiatrist
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

CLIA Record

Field Name Field Value
CLIA Number 03D1075587
LAB Type Physician Office
Facility Name INTEGRATED MEDICAL SERVICES, INC
Street 255 N CENTRAL BLVD, STE #5
City QUARTZSITE
State AZ
ZIP 85346
Phone 623 633-3848
CertificateType 4
CertificateEffectiveDate 10/23/2023
CertificateExpirationDate 10/22/2025
FacilityType Waiver

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