03D2128514 CLIA NUMBER - Integrated Healthcare Mobile Solutions

Laboratory Demographics

CLIA Number: 03D2128514

Facility Name: Integrated Healthcare Mobile Solutions

Facility Address:
1840 E Baseline Rd, Ste A1
Tempe, AZ
ZIP 85283
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Facility Phone Number: (480) 718-5400

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1255749982

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	03D2128514
LAB Type	PHYSICIAN OFFICE
Facility Name	Integrated Healthcare Mobile Solutions
Street	1840 E Baseline Rd, Ste A1
City	Tempe
State	AZ
ZIP	85283
Phone	(480) 718-5400

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This page was last updated on: 4/7/2021