03D2121745 CLIA NUMBER - Northview Pain Treatment Center

Laboratory Demographics

CLIA Number: 03D2121745

Facility Name: Northview Pain Treatment Center

Facility Address:
15650 N Black Canyon Hwy Ste B121,
Phoenix, AZ
ZIP 85053
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Facility Phone Number: (602) 595-7228

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1336695725
261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2121745
LAB Type OTHER
Facility Name Northview Pain Treatment Center
Street 15650 N Black Canyon Hwy Ste B121,
City Phoenix
State AZ
ZIP 85053
Phone 6025957228

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