03D2104283 CLIA NUMBER - SOUTHWEST KIDNEY INSTITUTE, PLC

Laboratory Demographics

CLIA Number: 03D2104283

Facility Name: SOUTHWEST KIDNEY INSTITUTE, PLC

Facility Address:
1000 WILLOW CREEK RD, STE F
PRESCOTT, AZ
ZIP 86301
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Facility Phone Number: (480) 610-6100

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1407094436

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	03D2104283
LAB Type	PHYSICIAN OFFICE
Facility Name	SOUTHWEST KIDNEY INSTITUTE, PLC
Street	1000 WILLOW CREEK RD, STE F
City	PRESCOTT
State	AZ
ZIP	86301
Phone	(480) 610-6100

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