03D2115615 CLIA NUMBER - TRI CITY CARDIOLOGY CONSULTANTS PC -SAN TAN VALLEY

Laboratory Demographics

CLIA Number: 03D2115615

Facility Name: TRI CITY CARDIOLOGY CONSULTANTS PC -SAN TAN VALLEY

Facility Address:
36543 N GANTZEL RD, BLDG 15, STE 101
SAN TAN VALLEY, AZ
ZIP 85140
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Facility Phone Number: (480) 835-6100

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1144288416

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	03D2115615
LAB Type	PHYSICIAN OFFICE
Facility Name	TRI CITY CARDIOLOGY CONSULTANTS PC -SAN TAN VALLEY
Street	36543 N GANTZEL RD, BLDG 15, STE 101
City	SAN TAN VALLEY
State	AZ
ZIP	85140
Phone	(480) 835-6100

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