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Contact Information

INTERNAL MEDICINE & LAB DIAGNOSTICS PC
333 E VIRGINIA AVE
#214
PHOENIX, AZ85004
 Phone: 602-258-3122
 Fax: 602-258-3119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INTERNAL MEDICINE LAB DIAGNOSTICS PC · (Female)

NPI Number 1013934983
Status Active
Credentials
Entity Individual
Enumeration date 07/16/2006
Last updated 12/11/2007 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 24505
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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