03D2098370 CLIA NUMBER - Phoenician Neurological & Pain Institu

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Laboratory Demographics

CLIA Number: 03D2098370

Facility Name: Phoenician Neurological & Pain Institu

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: 1770022295

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2098370
LAB Type	PHYSICIAN OFFICE
Facility Name	Phoenician Neurological & Pain Institu
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: 4/7/2021