03D2055485 CLIA NUMBER - SCOTTSDALE IMAGING SERVICES DBA SOUTHWEST MEDICAL IMAGING

Laboratory Demographics

  • CLIA Code: 03D2055485
  • Facility Name: SCOTTSDALE IMAGING SERVICES DBA SOUTHWEST MEDICAL IMAGING
  • Facility Address: 19636 N 27TH AVE, STE LL5
    PHOENIX, AZ
    ZIP 85027
  • Facility Phone: 480 425-4128
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: STACY HUNDT
  • NPI Number: 1013531268
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2055485
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SCOTTSDALE IMAGING SERVICES DBA SOUTHWEST MEDICAL IMAGING
Street 19636 N 27TH AVE, STE LL5
City PHOENIX
State AZ
ZIP 85027
Phone 480 425-4128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director STACY HUNDT

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This page was last updated on: 9/29/2025