03D2098370 CLIA NUMBER - PHOENICIAN NEUROLOGICAL & PAIN INSTITUTE

Laboratory Demographics

CLIA Number: 03D2098370

Facility Name: PHOENICIAN NEUROLOGICAL & PAIN INSTITUTE

Facility Address:
2226 W NORTHERN AVE #C212
PHOENIX, AZ
ZIP 85021
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Facility Phone Number: (480) 776-2982

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1972113546

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 03D2098370
LAB Type PHYSICIAN OFFICE
Facility Name PHOENICIAN NEUROLOGICAL & PAIN INSTITUTE
Street 2226 W NORTHERN AVE #C212
City PHOENIX
State AZ
ZIP 85021
Phone (480) 776-2982

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This page was last updated on: 5/11/2023