03D2111784 CLIA NUMBER - AZ INTEGRATED NEURO SPINE & PAIN

Laboratory Demographics

CLIA Number: 03D2111784

Facility Name: AZ INTEGRATED NEURO SPINE & PAIN

Facility Address:
13640 N 99TH AVE STE 100
SUN CITY, AZ
ZIP 85351
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Facility Phone Number: (623) 322-5700

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1487155354

Taxonomy: 2084N0400X - Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

CLIA Record

Field Name	Field Value
CLIA Number	03D2111784
LAB Type	PHYSICIAN OFFICE
Facility Name	AZ INTEGRATED NEURO SPINE & PAIN
Street	13640 N 99TH AVE STE 100
City	SUN CITY
State	AZ
ZIP	85351
Phone	(623) 322-5700

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