03D2119685 CLIA NUMBER - Western Integrated Medical Services, Llc

Laboratory Demographics

CLIA Number: 03D2119685

Facility Name: Western Integrated Medical Services, Llc

Facility Address:
4801 E Mcdowell Rd, Bldgs A & B,
Phoenix, AZ
ZIP 85008
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Facility Phone Number: (480) 315-1141

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1518314665
103TP2701X - Psychologist

CLIA Record

Field Name Field Value
CLIA Number 03D2119685
LAB Type OTHER
Facility Name Western Integrated Medical Services, Llc
Street 4801 E Mcdowell Rd, Bldgs A & B,
City Phoenix
State AZ
ZIP 85008
Phone 4803151141

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