03D2099911 CLIA NUMBER - Western Vascular Institute, Pllc

Laboratory Demographics

CLIA Number: 03D2099911

Facility Name: Western Vascular Institute, Pllc

Facility Address:
3600 N 3rd Ave Ste B
Phoenix, AZ
ZIP 85013
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Facility Phone Number: (480) 668-5000

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1265521181

Taxonomy: 2086S0129X - Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

CLIA Record

Field Name Field Value
CLIA Number 03D2099911
LAB Type PHYSICIAN OFFICE
Facility Name Western Vascular Institute, Pllc
Street 3600 N 3rd Ave Ste B
City Phoenix
State AZ
ZIP 85013
Phone (480) 668-5000

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This page was last updated on: 4/7/2021