03D2233110 CLIA NUMBER - CARDIOVASCULAR LAB OF ARIZONA, LLC

Laboratory Demographics

CLIA Number: 03D2233110

Facility Name: CARDIOVASCULAR LAB OF ARIZONA, LLC

Facility Address:
16638 N 90TH ST
SCOTTSDALE, AZ
ZIP 85260
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Facility Phone Number: 480 285-9741

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1770154767

Taxonomy: 207RI0011X - Internal Medicine
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

CLIA Record

Field Name Field Value
CLIA Number 03D2233110
LAB Type Physician Office
Facility Name CARDIOVASCULAR LAB OF ARIZONA, LLC
Street 16638 N 90TH ST
City SCOTTSDALE
State AZ
ZIP 85260
Phone 480 285-9741
CertificateType 2
CertificateEffectiveDate 8/19/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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