03D1078466 CLIA NUMBER - SCOTTSDALE IMAGING SERVICES DBA SOUTHWEST MEDICAL IMAGING

Laboratory Demographics

CLIA Number: 03D1078466

Facility Name: SCOTTSDALE IMAGING SERVICES DBA SOUTHWEST MEDICAL IMAGING

Facility Address:
20201 N SCOTTSDALE HEALTHCARE DR, STE 190
SCOTTSDALE, AZ
ZIP 85255
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Facility Phone Number: 480 425-5000

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1609110030

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	03D1078466
LAB Type	Other
Facility Name	SCOTTSDALE IMAGING SERVICES DBA SOUTHWEST MEDICAL IMAGING
Street	20201 N SCOTTSDALE HEALTHCARE DR, STE 190
City	SCOTTSDALE
State	AZ
ZIP	85255
Phone	480 425-5000
CertificateType	4
CertificateEffectiveDate	1/10/2024
CertificateExpirationDate	1/9/2026
FacilityType	Waiver

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