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03D2278806 CLIA NUMBER - HIGH MARK INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 03D2278806

Facility Name: HIGH MARK INTERNAL MEDICINE

Facility Address:
214 N MCCORMICK ST
PRESCOTT, AZ
ZIP 86301
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Facility Phone Number: 928 237-9800

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1689321903

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 03D2278806
LAB Type Physician Office
Facility Name HIGH MARK INTERNAL MEDICINE
Street 214 N MCCORMICK ST
City PRESCOTT
State AZ
ZIP 86301
Phone 928 237-9800
CertificateType 4
CertificateEffectiveDate 3/23/2023
CertificateExpirationDate 3/22/2025
FacilityType Waiver

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