03D2005024 CLIA NUMBER - SCOTTSDALE HEALTHCARE GASTROENTEROLOGY & ENDOSCOPY

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Laboratory Demographics

CLIA Number: 03D2005024

Facility Name: SCOTTSDALE HEALTHCARE GASTROENTEROLOGY & ENDOSCOPY

Facility Address:
9201 E MOUNTAIN VIEW RD STE 105
SCOTTSDALE, AZ
ZIP 85258
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Facility Phone Number: 480 882-7490

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659995892

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	03D2005024
LAB Type	Physician Office
Facility Name	SCOTTSDALE HEALTHCARE GASTROENTEROLOGY & ENDOSCOPY
Street	9201 E MOUNTAIN VIEW RD STE 105
City	SCOTTSDALE
State	AZ
ZIP	85258
Phone	480 882-7490
CertificateType	4
CertificateEffectiveDate	3/18/2024
CertificateExpirationDate	3/17/2026
FacilityType	Waiver

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