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ARIZONA INSTITURE OF MEDICINE & SURGERY NPI 1962657783


NPI Information

NPI: 1962657783
Provider Name: ARIZONA INSTITURE OF MEDICINE & SURGERY

Other Name: OUTPATIEN TREATMENT CTR

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 03D1022941

Address:
3636 STOCKTON HILL RD
KINGMAN, AZ
ZIP 86409
Phone: (928) 757-3680
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ARIZONA INSTITURE OF MEDICINE & SURGERY is a clinical medical laboratory in Kingman, AZ. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. ARIZONA INSTITURE OF MEDICINE & SURGERY NPI is 1962657783. The provider is registered as an organization entity type.
The provider Other Name Is Outpatien Treatment Ctr.

The provider's business location address is:

3636 STOCKTON HILL RD
KINGMAN, AZ
ZIP 86409
Phone: (928) 757-3680
Fax: (928) 757-3614

The provider's authorized official is Azam S Khan .
The authorized official title is Chief Administrative Officer and has the following contact phone number (928) 757-3636.

The CLIA number assigned to this NPI record is 03D1022941 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2008 and was last updated on 6/4/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareOTC-0660ARIZONANo
2291U00000XClinical Medical Laboratory03D0534286ARIZONAYes
3335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierOTC-0660ARIZONANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OTC-0660OTHERARIZONAMEDICAL FACILITY LICENSING
2167933MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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