03D2286901 CLIA NUMBER - ARIZONA BREATHE FREE OUTPATIENT TREATMENT CENTER

Laboratory Demographics

CLIA Number: 03D2286901

Facility Name: ARIZONA BREATHE FREE OUTPATIENT TREATMENT CENTER

Facility Address:
9377 E BELL RD STE 119
SCOTTSDALE, AZ
ZIP 85260
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Facility Phone Number: 480 306-6769

Facility Type: Other - OP TREATMENT CENTER

Certificate Type: Waiver

NPI Number: 1639205909

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	03D2286901
LAB Type	Other - OP TREATMENT CENTER
Facility Name	ARIZONA BREATHE FREE OUTPATIENT TREATMENT CENTER
Street	9377 E BELL RD STE 119
City	SCOTTSDALE
State	AZ
ZIP	85260
Phone	480 306-6769
CertificateType	4
CertificateEffectiveDate	8/4/2023
CertificateExpirationDate	8/3/2025
FacilityType	Waiver

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