03D2119201 CLIA NUMBER - Southern Arizona Integrated Medicine, Llc

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Laboratory Demographics

CLIA Number: 03D2119201

Facility Name: Southern Arizona Integrated Medicine, Llc

Facility Address:
1604 N Country Club Rd,
Tucson, AZ
ZIP 85716
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Facility Phone Number: (520) 203-8680

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1477900348
103TP2701X - Psychologist

CLIA Record

Field Name	Field Value
CLIA Number	03D2119201
LAB Type	OTHER
Facility Name	Southern Arizona Integrated Medicine, Llc
Street	1604 N Country Club Rd,
City	Tucson
State	AZ
ZIP	85716
Phone	5202038680

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This page was last updated on: 5/19/2019