03D2138558 CLIA NUMBER - WESTERN VASCULAR INSTITUTE, PLLC

Laboratory Demographics

CLIA Number: 03D2138558

Facility Name: WESTERN VASCULAR INSTITUTE, PLLC

Facility Address:
708 S COEUR D'ALENE LN, STE B
PAYSON, AZ
ZIP 85541
Get Directions

Facility Phone Number: (480) 668-5000

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1265521181

Taxonomy: 2086S0129X - Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

CLIA Record

Field Name	Field Value
CLIA Number	03D2138558
LAB Type	PHYSICIAN OFFICE
Facility Name	WESTERN VASCULAR INSTITUTE, PLLC
Street	708 S COEUR D'ALENE LN, STE B
City	PAYSON
State	AZ
ZIP	85541
Phone	(480) 668-5000

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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