03D2115615 CLIA NUMBER - Tri City Cardiology Consultants Pc -Sa

Laboratory Demographics

CLIA Number: 03D2115615

Facility Name: Tri City Cardiology Consultants Pc -Sa

Facility Address:
36543 N Gantzel Rd, Bldg 15, S
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 -Sa
Street 36543 N Gantzel Rd, Bldg 15, S
City San Tan Valley
State AZ
ZIP 85140
Phone (480) 835-6100

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This page was last updated on: 4/7/2021