03D2234909 CLIA NUMBER - HONORHEALTH MEDICAL GROUP - PEDIATRIC GASTROENTEROLOGY

Laboratory Demographics

CLIA Number: 03D2234909

Facility Name: HONORHEALTH MEDICAL GROUP - PEDIATRIC GASTROENTEROLOGY

Facility Address:
9201 E MOUNTAIN VIEW RD STE 120
SCOTTSDALE, AZ
ZIP 85258
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Facility Phone Number: 480 882-7510

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1154953578

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	03D2234909
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	HONORHEALTH MEDICAL GROUP - PEDIATRIC GASTROENTEROLOGY
Street	9201 E MOUNTAIN VIEW RD STE 120
City	SCOTTSDALE
State	AZ
ZIP	85258
Phone	480 882-7510
CertificateType	4
CertificateEffectiveDate	9/3/2023
CertificateExpirationDate	9/2/2025
FacilityType	Waiver

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