03D2112195 CLIA NUMBER - PHOENICIAN MEDICAL CENTER DBA PHOENICIAN

Laboratory Demographics

CLIA Number: 03D2112195

Facility Name: PHOENICIAN MEDICAL CENTER DBA PHOENICIAN

Facility Address:
2224 W NORTHERN AVE BLDG D SUITE 270
PHOENIX, AZ
ZIP 85021
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Facility Phone Number: (480) 346-9514

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1972113546

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	03D2112195
LAB Type	PHYSICIAN OFFICE
Facility Name	PHOENICIAN MEDICAL CENTER DBA PHOENICIAN
Street	2224 W NORTHERN AVE BLDG D SUITE 270
City	PHOENIX
State	AZ
ZIP	85021
Phone	(480) 346-9514

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