03D2174005 CLIA NUMBER - LINK MEDICAL DBA BILLET MEDICAL

Laboratory Demographics

  • CLIA Code: 03D2174005
  • Facility Name: LINK MEDICAL DBA BILLET MEDICAL
  • Facility Address: 1555 RAMAR RD
    BULLHEAD CITY, AZ
    ZIP 86442
  • Facility Phone: 833 224-5538
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WANTZY COOPER
  • NPI Number: 1730657016
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2174005
LAB Type Physician Office
Facility Name LINK MEDICAL DBA BILLET MEDICAL
Street 1555 RAMAR RD
City BULLHEAD CITY
State AZ
ZIP 86442
Phone 833 224-5538
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Physician Office
Lab Director WANTZY COOPER

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