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

Taxonomy: 103TP2701X - Psychologist
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

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 (480) 315-1141

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