03D2104518 CLIA NUMBER - POPHEALTHCARE MEDICAL SERVICES OF AZ, PC

Laboratory Demographics

CLIA Number: 03D2104518

Facility Name: POPHEALTHCARE MEDICAL SERVICES OF AZ, PC

Facility Address:
51 W 3RD ST STE 500
TEMPE, AZ
ZIP 85281
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Facility Phone Number: (615) 610-4492

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1346881760

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Field Name	Field Value
CLIA Number	03D2104518
LAB Type	OTHER
Facility Name	POPHEALTHCARE MEDICAL SERVICES OF AZ, PC
Street	51 W 3RD ST STE 500
City	TEMPE
State	AZ
ZIP	85281
Phone	(615) 610-4492

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Laboratory Demographics

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