03D2103452 CLIA NUMBER - Phoenician Neurological And Pain Insti

Laboratory Demographics

CLIA Number: 03D2103452

Facility Name: Phoenician Neurological And Pain Insti

Facility Address:
40 S Kyrene, Ste 3
Chandler, AZ
ZIP 85226
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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 03D2103452
LAB Type PHYSICIAN OFFICE
Facility Name Phoenician Neurological And Pain Insti
Street 40 S Kyrene, Ste 3
City Chandler
State AZ
ZIP 85226
Phone (480) 776-2982

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