05D0572794 CLIA NUMBER - DESERT HEMATOLOGY ONCOLOGY MEDICAL GRP

Laboratory Demographics

CLIA Number: 05D0572794

Facility Name: DESERT HEMATOLOGY ONCOLOGY MEDICAL GRP

Facility Address:
34490 BOB HOPE DR
RANCHO MIRAGE, CA
ZIP 92270
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Facility Phone Number: (760) 568-3613

Facility Type: PHYSICIAN OFFICE

Certificate Type: Accreditation

NPI Number: 1427069368

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name Field Value
CLIA Number 05D0572794
LAB Type PHYSICIAN OFFICE
Facility Name DESERT HEMATOLOGY ONCOLOGY MEDICAL GRP
Street 34490 BOB HOPE DR
City RANCHO MIRAGE
State CA
ZIP 92270
Phone (760) 568-3613

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This page was last updated on: 1/7/2022