03D2119537 CLIA NUMBER - PAIN SOLUTIONS MEDICAL GROUP

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Laboratory Demographics

CLIA Number: 03D2119537

Facility Name: PAIN SOLUTIONS MEDICAL GROUP

Facility Address:
4910 W RAY RD, #2
CHANDLER, AZ
ZIP 85226
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Facility Phone Number: (480) 855-0557

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1326491408

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	03D2119537
LAB Type	PHYSICIAN OFFICE
Facility Name	PAIN SOLUTIONS MEDICAL GROUP
Street	4910 W RAY RD, #2
City	CHANDLER
State	AZ
ZIP	85226
Phone	(480) 855-0557

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