03D2117601 CLIA NUMBER - Banner - University Super Specialists LLC

Laboratory Demographics

CLIA Number: 03D2117601

Facility Name: Banner - University Super Specialists LLC

Facility Address:
1441 N 12th St, 2nd Floor
Phoenix, AZ
ZIP 85006
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Facility Phone Number: (602) 521-2900

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1265820179

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 03D2117601
LAB Type PHYSICIAN OFFICE
Facility Name Banner - University Super Specialists LLC
Street 1441 N 12th St, 2nd Floor
City Phoenix
State AZ
ZIP 85006
Phone (602) 521-2900

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This page was last updated on: 12/19/2019