03D2121095 CLIA NUMBER - AZ MOBILE MD, LLC

Laboratory Demographics

CLIA Number: 03D2121095

Facility Name: AZ MOBILE MD, LLC

Facility Address:
32819 N 16TH AVE
PHOENIX, AZ
ZIP 85085
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Facility Phone Number: (623) 218-4171

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1689126971

Taxonomy: 207RG0300X - Internal Medicine
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

CLIA Record

Field Name	Field Value
CLIA Number	03D2121095
LAB Type	OTHER
Facility Name	AZ MOBILE MD, LLC
Street	32819 N 16TH AVE
City	PHOENIX
State	AZ
ZIP	85085
Phone	(623) 218-4171

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