03D2250596 CLIA NUMBER - JMA INTEGRATED MEDICINE PLLC

Laboratory Demographics

CLIA Number: 03D2250596

Facility Name: JMA INTEGRATED MEDICINE PLLC

Facility Address:
3755 S GILBERT RD STE 109
GILBERT, AZ
ZIP 85297
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Facility Phone Number: (480) 825-0593

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1083207096

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name Field Value
CLIA Number 03D2250596
LAB Type OTHER PRACTITIONER
Facility Name JMA INTEGRATED MEDICINE PLLC
Street 3755 S GILBERT RD STE 109
City GILBERT
State AZ
ZIP 85297
Phone (480) 825-0593

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This page was last updated on: 5/11/2023