03D2099911 CLIA NUMBER - Western Vascular Institute, Pllc

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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