03D2129832 CLIA NUMBER - QC DISTRICT MEDICAL GROUP LLC

Laboratory Demographics

CLIA Number: 03D2129832

Facility Name: QC DISTRICT MEDICAL GROUP LLC

Facility Address:
21323 S ELLSWORTH LOOP RD #101
QUEEN CREEK, AZ
ZIP 85142
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Facility Phone Number: (480) 926-7800

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1548734403

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	03D2129832
LAB Type	PHYSICIAN OFFICE
Facility Name	QC DISTRICT MEDICAL GROUP LLC
Street	21323 S ELLSWORTH LOOP RD #101
City	QUEEN CREEK
State	AZ
ZIP	85142
Phone	(480) 926-7800

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