03D2163602 CLIA NUMBER - HEALTH GENIUS INC, DBA IMAGE MED

Laboratory Demographics

CLIA Number: 03D2163602

Facility Name: HEALTH GENIUS INC, DBA IMAGE MED

Facility Address:
8111 E THOMAS RD STE 100
SCOTTSDALE, AZ
ZIP 85251
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Facility Phone Number: 480 613-7093

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336681014

Taxonomy: 2085R0204X - Radiology
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

CLIA Record

Field Name	Field Value
CLIA Number	03D2163602
LAB Type	Physician Office
Facility Name	HEALTH GENIUS INC, DBA IMAGE MED
Street	8111 E THOMAS RD STE 100
City	SCOTTSDALE
State	AZ
ZIP	85251
Phone	480 613-7093
CertificateType	4
CertificateEffectiveDate	3/18/2023
CertificateExpirationDate	3/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024