03D2132419 CLIA NUMBER - PATRIOT INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 03D2132419

Facility Name: PATRIOT INTERNAL MEDICINE

Facility Address:
6620 E CARONDELET DR
TUCSON, AZ
ZIP 85710
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Facility Phone Number: (520) 398-7079

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1093263188

Taxonomy: 363LA2200X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	03D2132419
LAB Type	PHYSICIAN OFFICE
Facility Name	PATRIOT INTERNAL MEDICINE
Street	6620 E CARONDELET DR
City	TUCSON
State	AZ
ZIP	85710
Phone	(520) 398-7079

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