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10D2198398 CLIA NUMBER - AZ MEDICAL CENTER LLC

Laboratory Demographics

CLIA Number: 10D2198398

Facility Name: AZ MEDICAL CENTER LLC

Facility Address:
3911 W WATERS AVE - STE 13
TAMPA, FL
ZIP 33614
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Facility Phone Number: 813 600-3118

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1912548355

Taxonomy: 261QP2000X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

CLIA Record

Field Name Field Value
CLIA Number 10D2198398
LAB Type Physician Office
Facility Name AZ MEDICAL CENTER LLC
Street 3911 W WATERS AVE - STE 13
City TAMPA
State FL
ZIP 33614
Phone 813 600-3118
CertificateType 4
CertificateEffectiveDate 11/2/2022
CertificateExpirationDate 11/1/2024
FacilityType Waiver

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