03D2126553 CLIA NUMBER - BANNER - UMG INTEGRATED HEALTH CLINIC LLC

Laboratory Demographics

CLIA Number: 03D2126553

Facility Name: BANNER - UMG INTEGRATED HEALTH CLINIC LLC

Facility Address:
535 N WILMOT RD, 2ND FLOOR
TUCSON, AZ
ZIP 85711
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Facility Phone Number: (520) 694-1234

Facility Type: OTHER

Certificate Type: Microscopy

NPI Number: 1568818649

Taxonomy: 261QM0850X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CLIA Record

Field Name	Field Value
CLIA Number	03D2126553
LAB Type	OTHER
Facility Name	BANNER - UMG INTEGRATED HEALTH CLINIC LLC
Street	535 N WILMOT RD, 2ND FLOOR
City	TUCSON
State	AZ
ZIP	85711
Phone	(520) 694-1234

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