03D2126618 CLIA NUMBER - ARIZONA ONCOLOGY ASSOCIATES

Laboratory Demographics

CLIA Number: 03D2126618

Facility Name: ARIZONA ONCOLOGY ASSOCIATES

Facility Address:
3188 N WINDSONG DR STE A
PRESCOTT VALLEY, AZ
ZIP 86314
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Facility Phone Number: (928) 775-9430

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1558747725

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	03D2126618
LAB Type	PHYSICIAN OFFICE
Facility Name	ARIZONA ONCOLOGY ASSOCIATES
Street	3188 N WINDSONG DR STE A
City	PRESCOTT VALLEY
State	AZ
ZIP	86314
Phone	(928) 775-9430

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