03D2103359 CLIA NUMBER - AKDHC - BULLHEAD CITY OFFICE

Laboratory Demographics

CLIA Number: 03D2103359

Facility Name: AKDHC - BULLHEAD CITY OFFICE

Facility Address:
2771 SILVER CREEK RD STE 120
BULLHEAD CITY, AZ
ZIP 86442
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Facility Phone Number: (928) 763-7722

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1487140539

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	03D2103359
LAB Type	PHYSICIAN OFFICE
Facility Name	AKDHC - BULLHEAD CITY OFFICE
Street	2771 SILVER CREEK RD STE 120
City	BULLHEAD CITY
State	AZ
ZIP	86442
Phone	(928) 763-7722

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