03D2157854 CLIA NUMBER - SCOTTSDALE IMAGING SERVICES DBA SOUTHWEST MEDICAL IMAGING

Laboratory Demographics

  • CLIA Code: 03D2157854
  • Facility Name: SCOTTSDALE IMAGING SERVICES DBA SOUTHWEST MEDICAL IMAGING
  • Facility Address: 1052 E MCKELLIPS RD
    MESA, AZ
    ZIP 85203
  • Facility Phone: 480 425-5000
  • Facility Type: Other - OP MEDICAL IMAGING CTR
  • Facility Type: Waiver
  • Lab Director: NIKKI S. CARSTENS
  • NPI Number: 1609110030
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2157854
LAB Type Other - OP MEDICAL IMAGING CTR
Facility Name SCOTTSDALE IMAGING SERVICES DBA SOUTHWEST MEDICAL IMAGING
Street 1052 E MCKELLIPS RD
City MESA
State AZ
ZIP 85203
Phone 480 425-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Other - OP MEDICAL IMAGING CTR
Lab Director NIKKI S. CARSTENS

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This page was last updated on: 9/29/2025